电子喉镜评估老年肺部感染患者的吞咽功能

doi:10.6040/j.issn.1673-3770.0.2025.147

Abstract

Abstract: Objective This study aimed to investigate the use of electronic laryngoscopy to assess swallowing function in patients over 60 years of age suspected of dysphagia within the neurology department. The goal was to enable early intervention to prevent long-lasting lung infections and reduce their rates of recurrence and mortality. Methods Seventy elderly subjects hospitalized in the neurology department for neurological disorders were enrolled and divided into two groups: a pneumonia group(n=35)with a history of pulmonary infection and a non-pneumonia group(n=35)without such a history. All participants underwent a simple screening for dysphagia, the Eating Assessment Tool-10(EAT-10)questionnaire, the Water Swallowing Test, and a flexible endoscopic examination of swallowing(FEES). Detection rates of penetration/aspiration in FEES were compared between groups. Scores from all assessments were compared to assess the correlation between pulmonary infection and dysphagia. Furthermore, the sensitivity, specificity, positive likelihood ratio and negative likelihood ratio of FEES versus the Water Swallowing Test to detect aspiration were compared to assess the reliability of FEES, particularly for diagnosing silent aspiration. Results Statistically significant differences were observed between the pneumonia and non-pneumonia groups with respect to penetration and aspiration detected by FEES. In all assessments, the number of patients with dysphagia identified by all assessments was significantly higher in the pneumonia group compared to the non-pneumonia group. FEES significantly increased the detection rate of silent aspiration. Conclusion FEES using a laryngoscope is of leading importance for preventing and treating pulmonary infections in elderly neurology patients with silent aspiration.

Key words: Electronic laryngoscopy, Elderly patients, Pulmonary infection, Swallowing disorders

CLC Number:

R766

XU Juan, CUI Biao, HUANG Jianping, CHEN Yibiao, SHI Jianfei, WANG Yanwen, LIU Zanhua, ZHANG Jianwei. Clinical application of FEES-based swallowing function assessment in elderly patients with pulmonary infections[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(3): 74-79.

References

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Clinical application of FEES-based swallowing function assessment in elderly patients with pulmonary infections

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