脑卒中后吞和沟通并发症:患病率和与并发症和危险因素的关联
Fazaila Ehsaan1, Nazia Mumtaz2, Ghulam Saqulain3
1Riphah International University, Lahore, Pakistan.
JPMA. The Journal of the Pakistan Medical Association
|September 12, 2023
概括
这项研究确定了中风后吞和沟通问题的关键风险因素. 糖尿病,吸烟,酒精,年龄和意识水平显著影响中风幸存者的吞困难.
科学领域:
- 神经学 神经学
- 语音语言病理学 语音语言病理学
背景情况:
- 脑卒中经常导致二次并发症,包括吞障碍 (吞困难) 和失言症 (沟通障碍).
- 确定与这些中风后并发症相关的并发症和危险因素对于有效的患者管理和康复至关重要.
研究的目的:
- 调查中风后患者的吞和沟通并发症相关的并发症和危险因素.
- 确定这些并发症在中风后人群中的患病率.
主要方法:
- 进行了一项横截面研究,对150名在2015年1月至6月期间被诊断患有中风的中风患者进行了研究.
- 数据收集包括格拉斯哥昏迷量表 (GCS),修改的马西床边吞查,语音语言病理学家 (SLP) 临床评估和病史.
- 使用SPSS版本23进行统计分析.
主要成果:
- 在68.7%的患者中观察到吞并发症,而沟通困难影响了66%.
- 吞问题的重要关联包括年龄,中风病史,吸烟,酒精摄入量,糖尿病和GCS得分.
- 沟通困难与高血压和GCS得分有显著的关联.
结论:
- 与中风相关的失消症与糖尿病,意识水平,先前的中风病史,吸烟,酒精消耗和患者年龄有显著联系.
- 脑卒中后的沟通障碍与高血压和患者的意识水平有关.
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