在脑内出血患者中,与中风后食症相关的预后因素
Shu-Mei Yang1, Hung-Hsi Lin1, Ting-Ju Lai2
1Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan.
Dysphagia
|July 27, 2024
概括
在脑内出血 (ICH) 幸存者中,中风后失足症 (PSD) 的预测因素包括中风严重程度,功能和身体障碍. 早期评估和全面管理对于改善吞结果至关重要.
科学领域:
- 神经学 神经学
- 脑卒中医学 脑卒中医学
- 康复 康复 康复 康复
背景情况:
- 自发性脑内出血 (ICH) 是中风的主要原因,经常导致中风后失血症 (PSD).
- PSD影响了绝大多数幸存者,增加了发病率并影响了康复.
- 确定PSD的预测因素对于及时干预和改善患者结果至关重要.
研究的目的:
- 在自发性脑内出血 (ICH) 后的患者中,确定中风后失足症 (PSD) 的关键预测变量.
- 分析与ICH后吞困难相关的人口,神经成像,临床和康复因素.
主要方法:
- 在310名患有急性自发性ICH的成年患者进行了回顾性队列研究.
- 在4周和12周使用鼻胃管保留和功能性口服摄入量表 (FOIS) 评估PSD.
- 使用单变量和多变量逻辑回归来确定PSD预测因子的统计分析.
主要成果:
- 在4周后,鼻胃管保留的预测因素包括NIHSS得分,淋巴膜过率和坐姿平衡.
- 在12周,住院时间和ICH评分预测了鼻胃管保留.
- 较高的NIHSS分数,失衡,不运动并发症,血瘤体积和腹腔内出血预测了4周后更低的FOIS;年龄较大和NIHSS分数预测了12周后更低的FOIS.
结论:
- 在ICH患者中,中风后食障碍是由中风严重程度,功能和身体缺陷的复杂相互作用引起的.
- 早期的神经学评估,身体功能的评估和综合管理策略对于提高ICH幸存者的吞功能和恢复至关重要.
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