脑卒中后吞咽障碍与肺炎的临床分析

目的：探讨脑卒中后吞咽障碍与卒中部位的关系，并分析吞咽障碍对卒中相关性肺炎的影响。方法：根据脑卒中部位将192例急性脑卒中患者分为左侧脑卒中组、右侧脑卒中组、双侧或脑干卒中组，比较三组患者吞咽障碍的发生率；根据吞咽障碍的发生情况将192例分为吞咽障碍组及无吞咽障碍组，比较两组患者卒中后肺炎的发生率。结果：左侧脑卒中组、右侧脑卒中组、双侧或脑干卒中组三组患者吞咽障碍的发生率有差别，X^2=6．07，P=0．048；吞咽障碍组及无吞咽障碍组卒中后肺炎的发生率有差别，P=0．000，吞咽障碍组的卒中后肺炎发生率高于无吞咽障碍组。结论：脑卒中后吞咽障碍的发生可能与卒中部位相关，吞咽障碍是卒中相关性肺炎的危险因素。

A Clinical Analysis of Pneumonia and Dysphagia after Acute Stroke

Objective To investigate the relationship between the occurrence of dysphagia and the stroke site and analyze the effect of dysphagia on stroke-associated pneumonia(SAP). Method 192 acute stroke patients were divided into three group by location of the lesion: on the left side,on the right side, bilateral or brain stem stroke, and the incidence of dysphagia in each group was compared. The pneumonia incidence between dysphagia patients and without dysphagia.patients was also compared. Result The incidence of dysphagia in three groups of different location of the lesion was significantly different (X2=6.07,P=0.048). The incidence of pneumonia of the group with dysphagia was significantly higher than that of the group without dysphagia (P=0.000). Conclusion The occurrence of dysphagia is related to the stroke site and dysphagia is a risk factor of SAP.