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舌头压力和握力作为急性中风后持续性缺食症的指标

Miho Ohashi^1,2, Yoichiro Aoyagi^3,4, Tatsuya Iwasawa^1,2

¹Department of Rehabilitation Medicine, Graduate School of Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan.

|October 28, 2024

概括

老年,舌头压力下降和握力强度预测在出院时持续的中风后食障碍. 肌肉力量比肌肉质量更有价值,用于预测这种情况.

科学领域:

神经学神经学
老年学是一门学科.
康复医学康复医学康复医学

背景情况:

脑卒中后消化不良是一种常见的并发症,影响患者的康复和生活质量.
标志着肌肉损失和软弱的萨尔科佩尼亚,越来越多地被认为是中风恢复的因素.
识别缺食症的早期预测因素对于及时干预和改善结果至关重要.

研究的目的:

在出院时识别急性中风后失足症的独立预测因子.
评估与肉症相关的参数的实用性,包括舌头压力,握力和骨肌肉质量指数 (SMI),用于预测失症.

主要方法:

一项前性观察性研究,涉及302名脑梗塞或出血的住院患者.
在入院后48小时内评估舌头压力,握力和身体构成.
后勤回归分析以确定失消症的独立预测因子 (定义为功能性口服摄入量表≤5) 在出院时.

主要成果:

老年,舌头压力下降和握力下降被确定为排放时缺食症的独立预测因素.
骨肌肉质量指数 (SMI) 和国家卫生研究院中风量表 (NIHSS) 评分不是显著的独立预测因素.
不消化症组在入院时表现出显著更高的年龄,NIHSS分数,较低的SMI,握力和舌头压力.

结论:

老年,舌头压力下降和握力下降是持续性中风后食障碍的重要预测因素.
肌肉强度参数 (舌头压力和握力) 在预测中风后的消化不良时比肌肉质量 (SMI) 更有价值.

关键词:

剧烈的中风是一次急性中风.消化不良症是什么消化不良症握力强度握力强度握力强度萨尔科佩尼亚是什么意思萨尔科佩尼亚骨肌肉质量骨肌肉质量骨肌肉质量舌头上的压力压力.

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