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卒中患者的吞咽困难 被引量:25

Dysphagia in stroke patients
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摘要 吞咽困难是卒中患者的常见问题.国外文献报道[1],22%~65%的住院卒中患者存在吞咽困难,大多数卒中患者的吞咽困难是暂时性的,在卒中发病后数周,约43%~86%可恢复其正常的吞咽功能,吞咽困难的出现往往提示卒中预后不良.在存在吞咽困难的神志清楚的卒中患者中,约1/3在卒中发病后6个月内死亡,而不存在吞咽困难患者的死亡率不超过10%[2].近来,卒中患者的吞咽困难开始受到越来越多的关注,现将有关的文献综述分析如下.
出处 《中国脑血管病杂志》 CAS 2004年第4期186-189,共4页 Chinese Journal of Cerebrovascular Diseases
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参考文献19

  • 1[1]Deborah JC, David G, Lalit Kalra. Early assessments of dysphagia and aspiration risk in acute stroke patients.Stroke, 2003, 34: 1252-1257.
  • 2[2]Scottish Intercollegiate Guidelines Network (SIGN). Management of patients with stroke, Ⅲ: Identification and management of dysphagia. Edinburgh: SIGN Publication,1997.
  • 3[3]Adrienne LP. Dysphagia in stroke patients. Semin Neurol,1996, 16: 341-348.
  • 4[4]Davalos A, Ricart W, Gonzalez-Huix F, et al. Effect of malnutrition after acute stroke on clinical outcome.Stroke, 1996, 27: 1028-1032.
  • 5[5]Gariballa SE, Parker SG, Taub N, et al. Influence of nutritional status on clinical outcome after stroke. Am J Clin Nutr, 1998, 68: 275-281.
  • 6[6]Ruiying Ding, Jeri A. Logemann. Pneumonia in stroke patients: A retrospective study. Dysphagia, 2000, 15:51-57.
  • 7[7]Perlman AL, Booth BM, Grayhack JP. Videofluoroscopic predictors of aspiration in patients with oropharyngeal dysphagia. Dysphagia, 1994, 9: 90-95.
  • 8[8]Horner J, Massey EW, Riski JE, et al. Aspiration following stroke: Clinical correlates and outcome. Neurology,1988, 38: 1359-1362.
  • 9[9]Smithard DG, O' Neill PA, Park C, et al. Can bedside assessment reliably exclude aspiration following acute stroke? Age Ageing, 1998, 27: 99-106.
  • 10[10]Depippo KL, Holas MA, Reding MJ. Validation of the 3-oz water swallow test for aspiration following stroke.Arch Neurol, 1992, 49: 1259-1261.

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