563例缺血型脑卒中后吞咽障碍的相关危险因素分析  

Study on the epidemiology and risk factors on dysphagia after ischemic stroke in Chengdu city, China

作　　者：黄银兰[1] 梁繁荣[1] 廖华强[2] 张文华 李怡[4] 邱玲[5] 李常度[2] 江学勤[6] 张敏[5] 

机构地区：[1]成都中医药大学,610075 [2]四川省中医院 [3]解放军第四五二医院 [4]四川省人民医院 [5]成都市第一人民医院 [6]四川省第四人民医院

出　　处：《中华流行病学杂志》2007年第6期601-604,共4页Chinese Journal of Epidemiology

基　　金：国家“十五”科技攻关计划资助项目（2004BA721A02）

摘　　要：目的调查缺血型脑卒中后吞咽障碍的患病率，分析其发生的相关危险因素。方法采用整群抽样的方法，以统一的调查表对2005年1—12月四川省中医院等4家医院共585例缺血型脑卒中后吞咽障碍患者进行回顾性调查，将563份有效调查表中可能与缺血型脑卒中后吞咽障碍发生相关的20余项因素进行logistic回归分析。结果563例缺血型脑卒中后吞咽障碍患病率为13．3％；多因素分析患者性别，发病次数，梗死部位中基底节区和侧室旁，伴发疾病中高血压、肺炎、血脂异常、颈椎病、颈内动脉粥样硬化OR值分别为0．416、0．489、0．327、0．454、2．187、2．146、0．352、0．242、0．273。结论563例缺血型脑卒中后吞咽障碍患病率低于国内外相关报道。性别、中风发生次数、梗死部位在基底节区和侧室旁、伴发肺炎、高血压、血脂异常、颈椎病、颈内动脉粥样硬化与患者发生缺血型脑卒中后吞咽障碍密切相关。Objective To study the incidence and the risk factors of dysphagia after ischemic stroke in Chengdu city, China. Methods Review was made with unified questionnaire on dysphagia after ischemic stroke in 563 patients from four hospitals, from January to December 2005. Over 20 risk factors related to dysphagia after ischemic stroke were analyzed by logistic regression. Results The total incidence of dysphagia after ischemic stroke was 13.3 % in Chengdu. Data from logistic regression analysis indicated that gender, morbidity frequency, basal nuclei, periventricular lesion, hypertension, pneumonia, hyperlipemia, cervical spondylosisi, internal carotid artherosclerosis were closely related to dysphagia after ischemic stroke,wlth OR values as 0.416,0.489,0.327,0.454,2. 187,2. 146,0.352,0.242 and 0.273 respectively. Conclusion The total incidence was lower than literature published from home and abroad. Gender, morbidity frequency, basal nuclei, periventricular lesion, hypertension, pneumonia, hyperlipemia, cervical spondylosisi and internal carotid artherosclerosis seemed to be risk factors to dysphagia after ischemic stroke.

关 键 词：缺血型脑卒中后吞咽障碍 危险因素 LOGISTIC回归分析 

分 类 号：R686[医药卫生—骨科学]