三级医院急性缺血性脑卒中患者的吞咽困难

A. Sönmezler, Åakir Özgür KeÅkek
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引用次数: 0

摘要

目的:探讨急性缺血性脑卒中患者吞咽困难的发生频率及其与格拉斯哥昏迷评分(GCS)的关系。方法:回顾性分析54例急性缺血性脑卒中患者的临床资料。记录格拉斯哥昏迷评分。采用改良Massey床边吞咽筛检(MBSS)诊断吞咽困难。统计评价采用MedCalc 15.8软件程序(MedCalcBelgium)。结果:54例急性缺血性脑卒中患者(n: 54)在我院神经内科重症监护病房(NICU)接受了随访。其中49名病人还活着,转到我们这里,然后出院了。有吞咽困难26例(48.1%),无吞咽困难28例(51.9%)。吞咽困难患者的格拉斯哥昏迷评分较低(r=-0.628, p<0.0001)。此外,生存与吞咽困难呈负相关(r=-0.331, p= 0.014)。结论:重症监护病房急性缺血性脑卒中患者的吞咽障碍可能与不良临床结果相关。它也与生存和GCS有关。吞咽困难在ICU患者中很常见,应仔细诊断,因为它可能是死亡的独立预测因子。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dysphagia in Patients with Acute Ischemic Stroke in a Tertiary Care Hospital
Objective: The aim of this study was to investigate the frequency of dysphagia in acute ischemic stroke and relation with Glasgow Coma Score (GCS). Methods: The data of 54 patients with acute ischemic stroke were retrospectively analyzed. Glasgow Coma Scores were recorded. Modified Massey Bedside Swallow Screen (MBSS) was used for the diagnosis of dysphagia. For statistical evaluation MedCalc 15.8 software program (MedCalcBelgium) was used. Results: Fifty-four patients (n: 54) with acute ischemic stroke who were admitted to the study were followed up in our hospital Neurology Intensive Care Unit (NICU). Fortynine of the patients were alive, transferred to our service, then discharged. Twenty-six patients had dysphagia (48.1%) while 28 patients did not have dysphagia (51.9%). Glasgow Coma Scores were lower in patients with dysphagia (r=-0.628, p<0.0001. Moreover, survival was inversely correlated with dysphagia (r=-0.331, p= 0.014). Conclusions: Swallowing disorders can be associated with adverse clinical outcomes in patients with acute ischemic stroke in intensive care unit. It is also associated with survival and GCS. Dysphagia is common in ICU patients and should be carefully diagnosed since it can be an independent predictor of death.
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