急性脑血管疾病中的缺食症和肺部并发症:一项回顾性观察性研究
A Silva1, I Carmezim2, C Oliveira2
1Physical Medicine and Rehabilitation Department, Tondela-Viseu Hospital Center, Viseu, Portugal.
Rehabilitacion
|July 3, 2023
概括
与中风相关的吞障碍 (吞困难) 影响超过30%的患者,增加呼吸道感染和死亡的风险. 早期检测和干预对于脑血管疾病患者的更好的结果至关重要.
科学领域:
- 神经学 神经学
- 内部医学 内部医学
- 肺部病理学 肺部病理学
背景情况:
- 缺食症是中风后经常出现的并发症.
- 它可以导致严重的肺部问题,增加患者的发病率,死亡率和住院时间.
- 早期发现吞困难和吸入风险至关重要.
研究的目的:
- 为了确定食障碍和急性脑血管疾病之间的关联.
- 为了评估中风患者中缺食症的患病率.
- 评估肺部并发症对再入院和死亡率的影响.
主要方法:
- 一项回顾性观察性研究分析了250名患者的病历.
- 包括临床病史,神经学检查,成像检查,以及在48小时内进行口吞屏幕 (Gugging Swallowing Screen,GUSS).
- 随访3个月以追踪死亡率和再接收.
主要成果:
- 在32.4%的被评估患者中,鉴定出缺食症.
- 在老年患者,严重中风和出血亚型中观察到更高的风险.
- 呼吸道感染和3个月死亡率在患有缺食症的患者中显著更高,尤其是严重的病例.
结论:
- 脑血管疾病的类型,中风严重程度得分 (NIHSS,GCS),年龄,失联症和失言症都与失言症有关.
- 3个月后的死亡率在严重的消化不良组显著更高.
- 虽然呼吸道感染在没有GUSS记录的情况下更常见,但没有观察到再入院的意义.
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