在急性缺血性中风后,与缺血症相关的并发症.
Anel Karisik1,2, Vincent Bader2, Kurt Moelgg1,2
1VASCage - Centre on Clinical Stroke Research, Adamgasse 23, Innsbruck, Austria.
BMC neurology
|September 28, 2024
概括
患有多种健康状况的患者患中风后食症的风险更高. 早期查吞问题对于缺血性中风患者至关重要,特别是那些患有多种并发病的人.
科学领域:
- 神经学 神经学
- 内部医学 内部医学
- 临床研究 临床研究
背景情况:
- 已经存在的并发症是已知的中风后食障碍的危险因素.
- 这项研究旨在调查患有缺血性中风后缺食症的患者的并发症的患病率.
研究的目的:
- 为了确定伴随性疾病和急性缺血性中风患者中缺血症的发生之间的关联.
- 为了确定增加中风后吞困难的风险的特定并发症.
主要方法:
- 来自两大队列 (STROKE-CARD试验和注册) 的急性缺血性中风患者数据的分析.
- 在入院时通过临床吞检查来评估缺食症.
- 使用查尔森并发症指数 (CCI) 来量化并发症.
主要成果:
- 在2054名缺血性中风患者中,有17.2%的患者表现出不消化症.
- 缺食症患者年龄较大,经历了更严重的中风 (更高的NIHSS),并具有显著更高的CCI得分.
- 在失消和高血压,心房动,糖尿病,非吸烟状态,心肌梗塞,心力衰竭,外周动脉疾病,慢性肝病和病之间发现了显著的相关性. 经过调整后,与糖尿病,外围动脉疾病,脏疾病,肝脏疾病和整体CCI的关联仍然显著.
结论:
- 多种并发症显著增加患中风后食障碍的风险.
- 对于急性缺血性中风患者,特别是那些患有多种潜在健康状况的患者,对吞障碍的早期和全面查至关重要.
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