脑梗死后吞咽困难预后的评估

被引：3

作者：

倪耀辉

丁素菊

赵玫

柴长凤

机构：

[1] 第二军医大学附属长海医院神经内科

来源：

中国卒中杂志 | 2008年 / 06期

关键词：

脑梗死; 吞咽障碍; 预后;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

摘要：

目的探讨判断脑梗死后吞咽困难预后的评估方法。方法对205例脑梗死后伴发吞咽困难的患者进行吞水实验,以改良的Barthel指数进行评分,根据牛津郡社区脑梗死分型(OCSP)进行分型。临床观察吞咽困难患者的预后情况。结果脑梗死后吞咽困难晚期恢复患者和早期恢复患者在吞水试验和改良的Barthel指数方面的差异均有统计学意义(P<0.001)。延髓梗死、延髓背外侧综合征、完全性前循环脑梗死的患者发生吞咽困难较其他类型的脑梗死伴发者更难恢复。结论判断脑梗死后吞咽困难的预后可以综合吞水实验、改良的Barthel指数和OCSP来进行。

引用

页码：398 / 400

页数：3

共 6 条

[1] Predictors of prolonged dysphagia following acute stroke
Broadley, S
Croser, D
Cottrell, J
Creevy, M
Teo, E
Yiu, D
Pathi, R
Taylor, J
Thompson, PD
[J]. JOURNAL OF CLINICAL NEUROSCIENCE, 2003, 10 (03) : 300 - 305
[2] Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients
Lim, SHB
Lieu, PK
Phua, SY
Seshadri, R
Venketasubramanian, N
Lee, SH
Choo, PNJ
[J]. DYSPHAGIA, 2001, 16 (01) : 1 - 6
[3] Swallowing Function After Stroke: Prognosis and Prognostic Factors at 6 Months[J] . Giselle Mann,P NA,Graeme J. Hankey,David Cameron.Stroke: A Journal of Cerebral Circulation . 1999 (4)
[4] A randomised prospective comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding after acute dysphagic stroke
Norton, B
HomerWard, M
Donnelly, MT
Long, RG
Holmes, GKT
[J]. BRITISH MEDICAL JOURNAL, 1996, 312 (7022) : 13 - 16
[5] Randomised Comparison Of Percutaneous Endoscopic Gastrostomy And Nasogastric Tube Feeding In Patients With Persisting Neurological Dysphagia[J] . R. H. R. Park,M. C. Allison,J. Lang,E. Spence,A. J. Morris,B. J. Z. Danesh,R. I. Russell,P. R. Mills.BMJ: British Medical Journal . 1992 (6839)
[6] DYSPHAGIA IN ACUTE STROKE
GORDON, C
HEWER, RL
WADE, DT
[J]. BRITISH MEDICAL JOURNAL, 1987, 295 (6595) : 411 - 414

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