CAJ | 학술논문

目的:探讨急性脑梗死部位及面积与吞咽障碍严重程度的关系.方法:对181例有吞咽障碍的急性脑梗死患者及6例健康志愿者进行X线电视透视吞咽功能检查(VFSS).记录异常表现.通过磁共振软件测DWI序列脑梗死的面积及部位;按照VFSS吞咽困难严重程度评分分轻、中、重3组进行比较.结果:急性期脑梗死患者中吞咽障碍发生率为66.3%(120/181),其中单侧半球为67.7%(86/127),脑干为79.1%(34/43),小脑梗死未发现吞咽障碍.脑梗死后吞咽障碍的严重程度与梗死部位、梗死面积关系密切,重度吞咽障碍多见于脑干梗死和大脑大面积梗死患者(P＜0.001和0.05);而大脑半球梗死侧别与吞咽障碍的发生率和严重程度无关(P＞0.05).结论:急性脑梗死后吞咽障碍的发生率及严重程度与梗死部位及梗死面积有关,脑干梗死和大脑大面积梗死患者常合并重度吞咽障碍.
목적:탐토급성뇌경사부위급면적여탄인장애엄중정도적관계.방법:대181례유탄인장애적급성뇌경사환자급6례건강지원자진행X선전시투시탄인공능검사(VFSS).기록이상표현.통과자공진연건측DWI서렬뇌경사적면적급부위;안조VFSS탄인곤난엄중정도평분분경、중、중3조진행비교.결과:급성기뇌경사환자중탄인장애발생솔위66.3%(120/181),기중단측반구위67.7%(86/127),뇌간위79.1%(34/43),소뇌경사미발현탄인장애.뇌경사후탄인장애적엄중정도여경사부위、경사면적관계밀절,중도탄인장애다견우뇌간경사화대뇌대면적경사환자(P＜0.001화0.05);이대뇌반구경사측별여탄인장애적발생솔화엄중정도무관(P＞0.05).결론:급성뇌경사후탄인장애적발생솔급엄중정도여경사부위급경사면적유관,뇌간경사화대뇌대면적경사환자상합병중도탄인장애.
Objective: To elucidate the relationship between the dysphagia severity and the location and size of cerebral infarction lesion in acute stroke. Method: One hundred and eighty-one acute ischemic stroke patients with dysphagia and six healthy volunteers accepted videofluoroscopy swallowing study (VFSS) respectively. Abnormal signs of swallowing were recorded. Dysphagic patients were divided into three groups: mild, moderate and serious. The cerebral infarction lesion size and location were measured on MRI -DWI image. Result: The incidence of dysphagia in acute ischemic stroke patients was 66.3%, of which in hemisphere infarction group was 67.7%, in brain stem infarction group was 79.1%. Dysphagia was not found in cerebellum infarction. The severity of dysphagia was closely related to infarction location and size. Severe dysphagia were often found in patients with brainstem infarction and large-area cerebral infarction (P＜0.001, 0.05). The dysphagia severity was not different in patients with left or right cerebral hemisphere infarction (P＞0.05). Conclusion: The incidence and severity of dysphagia were related to the location and size of cerebral infarction lesion in acute ischemic stroke patients. Patients with brainstem infarction and large-area cerebral infarction often had serious dysphagia.