摘要
目的 研究脑卒中患者进食 -吞咽障碍的发病情况和有关因素。方法 应用日本洼田俊夫的饮水试验对连续入住神经内科和康复科的 1 0 0例脑卒中患者 ,在病情稳定后进行评价。结果 1 0 0例脑卒中患者进食-吞咽障碍的发生率达 33 %。相关因素分析显示 ,吞咽功能障碍的发生与患者的性别、年龄、病变所在的侧别和有无伴发疾病无关 ,与患者的意识程度、认知功能、病变的性质、部位、病程、运动功能、日常生活活动和颜面失用、言语失用。
Objective To study the incidence and correlative factors of dysphagia in stroke patients. Methods Clinical data of 100 consecutive stroke patients hospitalized in the department of neurology and rehabilitation were evaluated retrospectively. Results By using the water drinking test after stabilization of patient's condition, the incidence of dysphagia in these stroke patients was found to be 33%. The occurence of dysphagia was not directly related to the sex,age,left or right hemisphere of lesion and concomitant diseases, but it was closely related to consciousness,characteristics and locus of the lesion, course of disease,motor function,activities of daily living,and sequela of stroke including buccofacial apraxia, speech apraxia and aphasia. Conclusion The incidence of dysphagia is relatively high in stroke patients, early recognition and management is of key importance in order to improve the patients′quality of life and enhance their recovery.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2002年第5期279-281,共3页
Chinese Journal of Physical Medicine and Rehabilitation
