急性缺血性脑卒中患者吞咽障碍的临床分析  

Clinical Analysis on Swallow Disorder of Acute Ischemic Stroke

作　　者：贺利峰[1] 王亚仙[1] 谈鹰[1] 沈双[1] 

机构地区：[1]浙江省湖州师范学院医学院附属中心医院,湖州313000

出　　处：《浙江中医药大学学报》2010年第6期868-869,共2页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]探讨急性脑梗死患者吞咽障碍程度与脑梗死部位、大脑梗死面积、并发肺部感染和预后等的关系。[方法]118例均经头颅CT和(或)MRI检查证实的急性脑梗死住院患者,根据吞咽障碍程度分为轻、中、重度3组进行比较。[结果]吞咽障碍程度与脑梗死部位、大脑梗死面积关系密切,重度吞咽障碍多见于脑干梗死和大脑大面积梗死患者(P<0.05、0.01)。重度吞咽障碍患者并发肺部感染明显多于轻、中度患者,预后也差(P均<0.01)。[结论]脑干梗死和大脑大面积梗死患者常合并重度吞咽障碍,并发肺部感染多见,预后也差,临床上应提高警惕。[Objective] To discuss the relation between swallow disorder of acute cerebral infarction with position,area,lung infection and prognosis.[Method] 118 cases were proved with CT and MRI,and divided into 3 groups by severity for comparison.[Result] There’s close relation between swallow disorder and infarction area and position;severe ones were mostly in cerebral stem infarction and large area infarction;the severe ones with lung infection were mostly in slight and mediate patients,with bad prognosis.[Conclusion] Cerebral stem and large area infarction combined with severe swallow disorder and lung infection has bad prognosis,which shall be worth warning in clinic.

关 键 词：脑梗死 吞咽障碍 肺部感染 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]