卒中后并发误吸危险因素及吞咽造影对其吞咽功能的评估  

Risk Factors of Aspiration after Stroke and Evaluation of Swallowing Function by VFSS

作　　者：李艳芳[1] 陈蔚[1] 周晓香[1] 王雪姣 鲍青 LI Yanfang;CHEN Wei;ZHOU Xiaoxiang;WANG Xuejiao;BAO Qing(Wuhan No.1 Hospital,Wuhan 430022,Hubei,P.R.China)

机构地区：[1]武汉市第一医院,湖北武汉430022

出　　处：《影像科学与光化学》2021年第6期892-895,共4页Imaging Science and Photochemistry

摘　　要：本文探讨脑卒中患者发生误吸危险因素及采用造影检查评估患者吞咽功能的价值。选取确诊卒中后发生误吸的患者90例作为误吸组,同期脑卒中后未发生误吸的患者90例作为对照组,分析发生误吸的危险因素,并采用吞咽造影录像检查(VFSS)对两组患者的吞咽功能进行评价。结果显示,误吸组患者的NIHSS评分、既往卒中病史率、卒中部位情况与对照组比较,差异具有统计学意义;卒中患者NIHSS评分较高、既往伴有卒中病史、卒中部位为脑干是患者发生误吸的独立危险因素;误吸组患者的OTT、STT测定值均高于对照组,而DT测定值低于对照组。说明神经功能缺损严重、脑干卒中、既往具有脑卒中病史是脑卒中患者发生误吸的危险因素,采用VFSS对检测卒中患者吞咽功能障碍具有较高的临床价值。This article discussed the risk factors of aspiration in stroke patients and the value of using contrast examination to assess the swallowing function of patients.A total of 90 patients with aspiration after confirmed stroke were selected as aspiration group,and 90 patients without aspiration after stroke were selected as control group during the same period.The risk factors of aspiration were analyzed,and the swallowing function of the two groups was evaluated by video fluoroscopic swallowing study(VFSS).The results showed that the NIHSS score,past stroke rate,and stroke location of the aspiration group were compared with the control group,and the difference was statistically significant.High NIHSS scores in stroke patients,previous stroke history,and brainstem stroke were independent risk factors for aspiration.The measured values of OTT and STT of patients in the aspiration group were higher than those of the control group,while the measured values of DT were lower than those of the control group.It shows that severe neurological deficits,brainstem stroke,and past history of stroke are risk factors for aspiration in stroke patients.The use of VFSS has high clinical value for detecting and diagnosing swallowing dysfunction in stroke patients.

关 键 词：脑卒中 误吸 危险因素 吞咽造影录像检查 吞咽功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]