《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (11): 1352-1355.

• 国际会议报道 • 上一篇    下一篇

脑卒中吞咽障碍康复结局的影响因素

谢家兴，牛敬雪，张红云，王微平，卜宏伟，李淑会
  

  1. 作者单位：1.首都医科大学康复医学院，北京市 100068；2.中国康复研究中心北京博爱医院神经康复科，北京市 100068。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-11-25 发布日期:2015-11-25

Factors Related with Outcome of Dysphagia after Stroke

XIE Jia-xing, NIU Jing-xue, ZHANG Hong-yun, WANG Wei-ping, BU Hong-wei, LI Shu-hui
  

  1. 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. Department of Nursing, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-11-25 Online:2015-11-25

PDF (PC)

被引次数

10

摘要： 目的 探讨影响脑卒中后吞咽障碍康复的因素。方法 回顾性分析脑卒中后吞咽障碍患者。将患者分为假性球麻痹组(n=296)和真性球麻痹组(n=82)。吞咽功能结局采用电视透视吞咽检查(VFSS)确定。采用Logistic回归分析发病年龄，性别，入院时体质量指数(BMI)、美国国立卫生研究院卒中量表(NIHSS)评分、简式Fug-Meyer运动评分(FMA)、改良Barthel指数(MBI)，住院期间有无气管插管、有无误吸，住院时间，吞咽功能训练开始时间对吞咽功能结局的影响。结果 发病年龄、NIHSS评分、有无气管插管、误吸、吞咽功能训练开始时间是两组患者吞咽功能不良的危险因素，MBI是假性球麻痹患者吞咽功能的保护因素。结论 发病年龄越小、病情越轻、无气管插管、无误吸、吞咽功能训练开始时间越早，越有利于吞咽功能的恢复，MBI评分越高越有利于假性球麻痹患者的吞咽功能恢复。

关键词: 脑卒中, 吞咽障碍, 影响因素, 康复

Abstract: Objective To investigate the factors related with swallowing function after stroke. Methods Stroke patients with dysphagia were reviewed, 296 cases with pseudobulbar paralysis, and 82 cases with bulbar paralysis. Swallowing function was evaluated with videofluoroscopic swallowing study (VFSS). The variable of age, sex, Body Mass Index (BMI), scores of National Institutes of Health Stroke Scale (NIHSS), Simplified Fug- Meyer Assessment (FMA) and modified Barthel Index (MBI), intubation, aspiration, length of hospitalization (LOH), and initiation of rehabilitation intervention were analyzed with Logistic regression. Results Age, NIHSS score, intubation, aspiration, initiation of rehabilitation intervention were the risk factors for poor outcome of swallowing function in all the patients, while the score of MBI was the protective factor for the pseudobulbar paralysis ones. Conclusion The younger the patients, the less the NIHSS score, no intubation, no aspiration, and the earlier the rehabilitation intervened, the more independent the pseudobulbar paralysis patients, the better swallowing function recovered.

Key words: stroke, dysphagia, risk factors, rehabilitation