A protocol for the videofluorographic swallowing study
A protocol for the videofluorographic swallowing study
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DOI：
10.1007/bf01354540
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发表时间：
1993-01-01
期刊：
影响因子：
2.6
通讯作者：
Lynch, C.
中科院分区：
文献类型：
--
作者：
Palmer, Jeffrey B.;Kuhlemeier, Keith V.;Lynch, C.
本文提出了进行视频荧光吞咽研究 (VFSS) 的详细方案，并描述了它是如何从其前身演变而来的。 VFSS 的目标既是诊断也是治疗。描述了 VFSS 的准备工作，包括设备、食物准备和临床评估的简要讨论。 VFSS 程序的详细描述包括患者的位置、提供的食物、获得的视图、常用的喂养和吞咽的修改、标准化的观察集以及报告结果。提出了偏离方案或中止研究的标准。 VFSS 并不一定会在患者吸气时结束。事实上，对误吸的完整评估以及旨在减少误吸的操作的效果是 VFSS 的主要目的。在研究过程中，对喂养和吞咽的改变进行了实证测试。这些修改包括可以提高吞咽安全性和效率的治疗和补偿技术。讨论了决定在给定患者中测试哪些修改的基本原理。该方案已成功应用于 350 多名患者。它提高了我们的视频荧光检查的效率和质量。
This paper presents a detailed protocol for performing the videofluorographic swallowing study (VFSS), and describes how it evolved from its antecedents. The objectives of the VFSS are both diagnostic and therapeutic. Preparing for the VFSS is described, including the equipment, food preparation, and a brief discussion of the clinical evaluation. The detailed description of the VFSS procedure covers the position of the patient, the foods presented, the views obtained, modifications of feeding and swallowing that are commonly employed, the standardized set of observations, and reporting the results. Criteria for deviating from the protocol or aborting the study are presented. The VFSS does not necessarily end when a patient aspirates. Indeed, the complete evaluation of aspiration, and the effects of maneuvers designed to reduce it, is a major purpose of the VFSS. Modifications of feeding and swallowing are tested empirically during the study. The modifications include therapeutic and compensatory techniques that may improve the safety and efficiency of swallowing. A rationale for deciding which modifications to test in a given patient is discussed. The protocol has been used successfully in more than 350 patients. It has improved the efficiency and quality of our videofluorographic examinations.