对患有中风后食症患者吸血相关的风险因素的分析:现实世界研究
Yun Lu1,2, Jing Teng1, Sisi Huang1
1Department of Rehabilitation Medicine, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
概括
鉴定中风后失足症 (PSD) 中渴望的危险因素至关重要. 高龄,肺炎病史,严重的性关节炎,多种慢性疾病和特定的脑损伤增加了PSD患者的吸血风险.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 临床医学 临床医学
背景情况:
- 吸血是中风后患者 (PSD) 缺食症的严重并发症.
- 了解PSD追求的风险因素对于有效管理至关重要.
- 目前关于这些风险因素的知识仍然不足.
研究的目的:
- 识别和分析与患有中风后失足症的患者的吸血相关的危险因素.
- 为有针对性的干预提供数据,以减少愿望并发症.
主要方法:
- 追溯分析了321名第一次中风的消化不良患者.
- 用吞功能查,临床检查和视频光镜吞研究来区分吸入与非吸入组.
- 人口,疾病相关和临床特征的多变量逻辑回归分析.
主要成果:
- 吸血的危险因素包括65岁以上的年龄,有肺炎史,严重的性关节炎,超过2种慢性疾病,双边脑损伤,脑干病变位置和更高的吞水测试 (WST) 分数.
- 防止吸血的保护因素是蒙特利尔认知评估 (MoCA) 高分和高重复的唾液吞测试 (RSST) 切断值.
结论:
- 65岁及以上的患者,有肺炎病史,严重肌痛性关节炎,多种慢性疾病,双边脑损伤,脑干病变或高WST得分的患者需要优先考虑吸收评估和干预.
- 认知功能 (MoCA) 和唾液吞测试 (RSST) 可能提供保护性见解.
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