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在中风后的个体中,喉残留物和透/吸收之间的相关性

Laura Mochiatti Guijo¹, João Paulo Galletti Pilon¹, Paula Cristina Cola²

¹Postgraduate Students of the Speech, Language and Hearing Sciences Program, São Paulo State University-UNESP, Campus de Marília, Marília, SP, Brazil.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

|November 17, 2024

概括

脑卒中幸存者的喉残留严重程度与食障碍相关,与透吸收水平相关. 这一发现突显了残留物积累和呼吸道入侵风险在中风后吞困难之间的联系.

科学领域:

神经学神经学
胃肠病学胃肠病学
语音语言病理学语音语言病理学

背景情况:

脑卒中是导致食障碍的主要原因,增加了吸血和肺炎的风险.
喉残留物是缺食的常见后果,可能导致吸收.
准确评估食障碍对于有效的患者管理至关重要.

研究的目的:

在中风后的个体中调查喉残留物和透吸收事件之间的相关性.
使用经过验证的尺度量化残留物严重程度和气道入侵之间的关系.

主要方法:

一项对157名中风后患者进行的横截面研究,这些人正在接受纤维光学内镜吞评估 (FEES).
使用耶鲁喉残留严重性评级尺度 (YPRSRS) 评估残留物.
透和渴望使用透渴望量表 (PAS) 进行评估,斯皮尔曼的等级相关性分析了这种关系.

主要成果:

在YPRSRS得分 (vallecula,pyriform sinus和组合) 和PAS得分之间发现了显著的正相关性.
效应大小 (r2) 从0.18到0.32不等,表明残留物与吸收之间存在中等关系.
在所有评估的喉区域中,相关性在统计学上显著 (p ≤ 0.000).

结论:

脑卒中后食症中喉残留的严重程度与透和吸收的程度有显著的相关性.
这些发现强调了评估和管理喉残留物的临床重要性,以减轻中风幸存者的吸收风险.
FEES提供了关于残留物和呼吸道保护在消化障碍管理中的相互作用的宝贵数据.

关键词:

消消是一种消.脱障碍脱障碍脱障碍内镜检查是指内镜检查.喉 (pharynx) 是一个神经系统.一次性中风,中风.

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