Dysphagia in patients with brainstem stroke - Incidence and outcome
Dysphagia in patients with brainstem stroke - Incidence and outcome
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DOI：
10.1097/00002060-200003000-00010
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发表时间：
2000-03-01
影响因子：
3
通讯作者：
Lien, IN
中科院分区：
文献类型：
--
作者：
Meng, NH;Wang, TG;Lien, IN
目的：本研究是为了描述吞咽困难的发病率和结果之间的住院患者谁是指康复，因为brainstem stroke.Design：我们回顾性分析了36例患者谁是因为脑干中风入院的医疗记录。通过病历回顾获得患者的临床特征、进食状况、临床和视频透视吞咽检查结果等信息，通过电话进行随访，了解患者出院后7-43个月的一般医疗状况和进食状况。共有81%的患者在卒中发作后10-75天进行初始临床吞咽评估时有吞咽困难。共有79%的吞咽困难的个人依赖管喂养在最初的评估，22%的所有个人不能恢复口服摄入出院。统计学分析显示，预后不良与涉及髓质的疾病、初始吞咽试验中出现湿音以及吞咽反射延迟或缺失之间存在显著相关性。吸入性肺炎的发生率为11%。通过改良的钡餐透视检查发现吸入性肺炎与吸入性肺炎的发生之间存在相关性。随访访谈显示，88%的27例患者谁接触了恢复充分的口服摄入4个月后发病stroke.Conclusions：吞咽困难的发病率是相对较高的，在我们的研究人群。长期结果是有利的。
Objective: This study was conducted to delineate the incidence and outcome of dysphagia among hospitalized patients who were referred for rehabilitation because of brainstem stroke.Design: We retrospectively reviewed the medical records of 36 patients who were admitted because of brainstem stroke. Information on the patients' clinical features, feeding status, and the results of clinical and videofluoroscopic swallowing examinations were obtained through chart review, Follow-up interviews were conducted via telephone to learn the general medical condition and feeding status of the patients 7-43 mo after hospital discharge.Results: A total of 81% of the patients had dysphagia at the time of initial clinical swallowing evaluation, which was performed 10-75 days after the onset of stroke. A total of 79% of the dysphagic individuals depended on tube feeding at the initial evaluation; 22% of all individuals could not resume oral intake at discharge. Statistical analyses revealed a significant association between poor outcome and disease involving the medulla, the presence of a wet voice during the initial swallowing test, and a delay or absence of the swallowing reflex. The incidence of aspiration pneumonia was 11%. There was a correlation between the detection of aspiration by modified barium meal videofluoroscopy and the development of aspiration pneumonia. Follow-up interviews showed that 88% of the 27 patients who were contacted had resumed full oral intake 4 mo after the onset of stroke.Conclusions: The incidence of dysphagia was relatively high in our study population. The long-term outcome was favorable.