检查急性中风患者的功能,认知和吞能力之间的相关性
Hilal Berber Çiftci1, Seyhun Topbaş2
1Speech and Language Therapy, Tarsus University, Mersin, Turkey.
Applied neuropsychology. Adult
|May 21, 2025
概括
急性中风患者的吞困难 (吞障碍) 与功能和认知水平的降低密切相关. 在脑卒中幸存者中,早期查认知能力和功能低下的吞前技能对于及时检测和管理至关重要.
科学领域:
- 神经学 神经学
- 临床医学 临床医学
- 康复科学 康复科学 康复科学
背景情况:
- 吞障碍 (吞障碍) 是急性中风后的一个常见并发症.
- 识别食障碍的预测因素对于早期干预和改善患者结果至关重要.
研究的目的:
- 调查急性中风患者吞能力相关的因素.
- 为了确定病变特征,认知状态,功能和失调之间的关系.
主要方法:
- 评估了一组97名急性中风患者 (45-90岁) 在中风发作7天内进行了评估.
- 用土耳其版本的曼恩吞能力评估 (TR-MMASA) 来评估吞能力.
- 认知水平和功能分别使用标准化迷你心理测试 (SMMT) 和修改的兰金尺度 (MRS) 进行评估.
主要成果:
- 吞能力 (TR-MMASA) 与中风相关因素 (如中风以来的时间,病变类型,受影响的侧面或风险因素) 之间没有显著的相关性.
- 功能状态 (MRS) 和吞能力 (TR-MMASA) 之间存在中等相关性.
- 在认知水平 (SMMT) 和吞能力 (TR-MMASA) 之间观察到强烈的相关性,这表明较低的认知预测了食障碍.
结论:
- 功能减弱和认知障碍是急性中风患者中缺食症的重要预测因素.
- 常规食障碍查,重点是吞前的技能,应纳入低认知和功能水平的中风患者的评估.
- 在入院时对认知,功能和吞前技能进行全面评估,可以促进早期检测和转诊以进行失调管理.
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