脑卒中后失足症的特征:基于FEESES的回顾性研究
Fang Sun1,2, Jia Qiao3, Xiaoyan Huang1,3
1Clinical Medical College of Acupuncture-Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, P. R. China.
Brain and behavior
|July 21, 2023
概括
与 supratentorial 中风相比,infratentorial 中风与更差的吞功能和更长的鼻胃管持续时间相关. 语音的运动障碍也会影响中风后失足症患者的输卵管持续时间.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 语音语言病理学 语言病理学
背景情况:
- 脑卒中后消化不良 (PSD) 是一种常见的并发症,影响营养摄入和恢复.
- 了解中风病变位置对吞功能的影响对于患者管理至关重要.
研究的目的:
- 根据病变部位,对中风患者的消化不良的特征.
- 确定影响PSD中鼻胃管使用时间的因素.
主要方法:
- 94名PSD患者被分为上和下中风组.
- 使用FEES,PAS,PR,FOIS,MSS,感觉和声运动来评估吞功能.
- 卡普兰-梅尔分析根据中风类型和吞参数评估了鼻胃管的持续时间.
主要成果:
- 脑下垂体中风的吞功能明显差 (PR,PAS,MSS,声流动性) 比脑下垂体中风.
- 腰部中风的喉残留分数高于深层脑内中风.
- 较长的鼻胃管持续时间与低口腔中风,高PAS分数,严重的喉残留物和声损伤有关.
结论:
- 脑下垂体中风的位置与与脑上垂体中风相比,与更差的吞结果有关.
- 特定的吞障碍 (高PAS,严重PR,声不运动) 预示着长期的鼻胃管依赖.
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