在有史以来首次中风的患者中,关,病变位置和口腔/吞功能之间的关系
Masahiro Nakamori1, Eiji Imamura2, Hayato Matsushima2
1Department of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan; Department of Neurology, Suiseikai Kajikawa Hospital, Hiroshima, Japan.
Clinical neurology and neurosurgery
|May 4, 2025
概括
与中风相关的肌痛性关节炎与冠状辐射体的病变和舌头压力降低有关. 早期评估语音障碍至关重要,与吞困难分开.
科学领域:
- 神经学 神经学
- 语音语言病理学 语言病理学
背景情况:
- 发病症显著损害生活质量和社会互动.
- 急性中风是新发性肌痛性关节炎的常见原因之一.
研究的目的:
- 为了研究病变位置和口腔/吞功能之间的关联,在急性中风患有脱节症的患者中.
- 为了确定这个人群中患有肌痛性关节炎的危险因素.
主要方法:
- 在82名急性中风患者的分析中,使用了语音评估 (透视运动,大声阅读),头部MRI,视频光镜 (VF) 吞检查和舌头压力测量.
- 鉴定中风病变和与失关节症诊断的相关性.
主要成果:
- 在19.5%的患者中诊断出缺动性关节炎.
- 发炎的重要危险因素包括国家卫生研究院中风量表 (NIHSS) 的较高得分和冠状病毒辐射中的病变.
- 舌下压力 (切线28.4kPa) 与肌痛关联,但VF吞评估显示没有显著差异.
结论:
- 冠状状辐射的病变是中风患者中风症的关键预测因素.
- 减少舌头压力与肌痛性关节障碍有关,突出显示需要独立评估语音和吞功能.
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