《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (05): 572-574.

• 特稿 • 上一篇    下一篇

脑外伤并发吞咽障碍的相关因素分析

张一，柏慧华，祝晓娟，王涯，姚秋近，吴野环，杨伊林   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-05-25 发布日期:2015-05-25

Factors Related with Dysphagia Following Traumatic Brain Injury

ZHANG Yi, BAI Hui-hua, ZHU Xiao-juan, WANG Ya, YAO Qiu-jin, WU Ye-huan, YANG Yi-lin   

  1. Department of Neurosurgery, Changzhou First People's Hospital, Changzhou, Jiangsu 213003, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-05-25 Online:2015-05-25

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摘要： 目的研究脑外伤后发生吞咽障碍的相关危险因素。方法141 例脑外伤患者根据Gugging 吞咽功能评估，分为吞咽障碍(n=36)和吞咽正常(n=105)两组，比较两组间的相关因素发生率。结果重型脑外伤、脑干损伤、双侧脑损伤、气管切开、留置胃管和认知障碍的发生率吞咽障碍组高于吞咽正常组(P<0.05)。结论重型脑外伤、脑干损伤、双侧脑损伤、气管切开、留置胃管和认知障碍与脑外伤后吞咽障碍的发生有关。

关键词: 脑外伤, 吞咽障碍, 危险因素

Abstract: Objective To explore the risk factors of dysphagia in the patients with traumatic brain injuries (TBI). Methods 141 TBI patients were assessed with Gugging Swallowing Screen, and divided into the dysphagia (n=36) and normal (n=105) groups. The related factors were compared between 2 groups. Results The frequency increased in severe brain injury, brain stem injury, bilateral brain injury, tracheotomy, nasal-gastric tube insertion and cognitive defect in the dysphagia group compared with those in the normal group (P<0.05). Conclusion The severe brain injury, brain stem injury, bilateral brain injury, tracheotomy, nasal-gastric tube insertion and cognitive defect may be related with the dysphagia post TBI.

Key words: traumatic brain injury, dysphagia, risk factor