卒中后吞咽障碍临床探讨

目的探讨卒中后吞咽障碍、误吸发生率,卒中后吞咽障碍与预后相关性,提高对卒中后吞咽障碍的认识。方法选择连续登记的129例住院卒中患者为研究对象,入院后48h内完成电视透视吞咽检查(Videofluoroscophic swallo-wing study,VFSS)。将其分为有吞咽障碍组和无吞咽障碍组。6个月后,完成mRS量表评分,判断卒中患者预后。比较2组预后情况。结果 129例患者中有63例有吞咽障碍(48.83%),无吞咽障碍组66例,其中误吸34例,安静误吸11例。有吞咽障碍组63例,6个月后有14例患者仍存吞咽障碍,4例患者仍需胃管饮食。无吞咽障碍组预后好于有吞咽障碍组(P<0.05)。结论卒中后吞咽障碍发生率较高,吞咽障碍影响卒中患者预后。

Clinical study on dysphagia after stroke

Objective To investigate taspiration rate after the incidence of stroke.In order to enhance the understanding of dysphagia after stroke.Methods 129 patients were enrolled in this study.All of them completed deglutition check(Videofluoroscophic swallowing study,VFSS) within 48 hours after admitted.Be divided into dysphagia group and no dysphagia group.After 6 months,judging prognosis of stroke patient by mRS scale score.Comparing prognosis of 2 groups.Results 63 patients with swallowing disorders(48.83%),66 no dysphagia cases in 129 patients,including 34 aspiration,11 quiet aspiration.6 months after,the 14 patients still swallowing disorder,4 patients still need gastric diet.No dysphagia group prognosis better than swallowing group(P<0.05).Conclusion The high incidence of dysphagia after stroke,dysphagia influence the prognosis of patients with stroke.