创伤性和非创伤性颈脊髓损伤患者吞咽困难的临床预测因素评估:一项回顾性研究

Jin-Woo Choi, Dae Yeong Kim, Sun Young Joo, Donghwi Park, Min Cheol Chang
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引用次数: 0

摘要

吞咽困难是颈脊髓损伤(C-SCI)患者常见的并发症,可引起各种肺部并发症,如吸入性肺炎和机械性气道阻塞,增加死亡率和发病率。本研究评估了预测创伤性和非创伤性 C-SCI 患者吞咽困难的临床因素。本研究回顾性地纳入了 98 名 C-SCI 患者,并将其分为有吞咽困难和无吞咽困难两种。该研究回顾性地调查了年龄、性别、气管切开、脊髓独立性测量、肺功能测试(PFT)(包括用力生命容量(FVC)、1 秒用力呼气容积(FEV1)和 FVC/FEV1)、美国脊髓损伤协会评分、Berg 平衡量表和手术方法等临床因素。考虑到我们的研究结果,C-SCI 患者的早期 PFT(尤其是 FVC)以及 C-SCI 和气管切开患者的早期吞咽困难管理和治疗将有利于降低这些患者因肺吸入导致的死亡率和发病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of clinical factors predicting dysphagia in patients with traumatic and non-traumatic cervical spinal cord injury: a retrospective study
Dysphagia is a common complication in patients with cervical spinal cord injury (C-SCI) and can cause various pulmonary complications, such as aspiration pneumonia and mechanical airway obstruction increasing mortality and morbidity. This study evaluated the clinical factors that predict dysphagia in patients with traumatic and non-traumatic C-SCI.Ninety-eight patients with C-SCI were retrospectively enrolled in this study and were divided into those with and without dysphagia. Clinical factors such as age, sex, tracheostomy, spinal cord independence measure, pulmonary function test (PFT) including forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1) and FVC/FEV1, American Spinal Cord Injury Association score, Berg Balance Scale, and surgical approach were investigated retrospectively.Multivariate logistic regression analysis revealed that FVC and the presence of tracheostomy were significantly correlated with dysphagia in patients with C-SCI (p < 0.05). FVC and the presence of tracheostomy are useful tools for detecting dysphagia in patients with C-SCI.Considering the results of our study, early PFTs, especially FVC, in patients with C-SCI and early initiation of dysphagia management and treatment in patients with C-SCI and tracheostomy will be advantageous in lowering the mortality and morbidity due to pulmonary aspiration in these patients.
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