中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
19期
22-23
,共2页
缺血性脑卒中%神经源性吞咽障碍%影响因素
缺血性腦卒中%神經源性吞嚥障礙%影響因素
결혈성뇌졸중%신경원성탄인장애%영향인소
Ischemic stroke%Neutrogena dysphasia%Influencing factors
目的：分析缺血性脑卒中后神经源性吞咽障碍的影响因素。方法回顾性分析310例缺血性脑卒中患者的临床资料，分析缺血性脑卒中后神经源性吞咽障碍的影响因素。结果参与调查的310例缺血性脑卒中患者，其中47例患者出现神经源性吞咽障碍，占总患者数的15.16%。女性患者的神经源性吞咽障碍发生率较男性患者明显提高，差异具有统计学意义(P<0.05)，年龄≤50岁患者吞咽障碍发生率较51~75岁和75岁以上年龄段明显降低(P<0.05)，随着患者年龄增加，吞咽障碍发生率随之增加。缺血性脑卒中复发患者神经源性吞咽障碍的发生率较首发患者明显增加(P<0.05)，患者并发高血压、高血脂、肺炎的吞咽障碍发生率较未有并发症患者明显增加(P<0.05)。结论缺血性脑卒中后神经源性吞咽障碍的发病率较高，其发生同多种因素密切相关，针对缺血性脑卒中后神经源性吞咽障碍的影响因素采取相应的预防和干预措施，可降低神经源性吞咽障碍的发生率。
目的：分析缺血性腦卒中後神經源性吞嚥障礙的影響因素。方法迴顧性分析310例缺血性腦卒中患者的臨床資料，分析缺血性腦卒中後神經源性吞嚥障礙的影響因素。結果參與調查的310例缺血性腦卒中患者，其中47例患者齣現神經源性吞嚥障礙，佔總患者數的15.16%。女性患者的神經源性吞嚥障礙髮生率較男性患者明顯提高，差異具有統計學意義(P<0.05)，年齡≤50歲患者吞嚥障礙髮生率較51~75歲和75歲以上年齡段明顯降低(P<0.05)，隨著患者年齡增加，吞嚥障礙髮生率隨之增加。缺血性腦卒中複髮患者神經源性吞嚥障礙的髮生率較首髮患者明顯增加(P<0.05)，患者併髮高血壓、高血脂、肺炎的吞嚥障礙髮生率較未有併髮癥患者明顯增加(P<0.05)。結論缺血性腦卒中後神經源性吞嚥障礙的髮病率較高，其髮生同多種因素密切相關，針對缺血性腦卒中後神經源性吞嚥障礙的影響因素採取相應的預防和榦預措施，可降低神經源性吞嚥障礙的髮生率。
목적：분석결혈성뇌졸중후신경원성탄인장애적영향인소。방법회고성분석310례결혈성뇌졸중환자적림상자료，분석결혈성뇌졸중후신경원성탄인장애적영향인소。결과삼여조사적310례결혈성뇌졸중환자，기중47례환자출현신경원성탄인장애，점총환자수적15.16%。녀성환자적신경원성탄인장애발생솔교남성환자명현제고，차이구유통계학의의(P<0.05)，년령≤50세환자탄인장애발생솔교51~75세화75세이상년령단명현강저(P<0.05)，수착환자년령증가，탄인장애발생솔수지증가。결혈성뇌졸중복발환자신경원성탄인장애적발생솔교수발환자명현증가(P<0.05)，환자병발고혈압、고혈지、폐염적탄인장애발생솔교미유병발증환자명현증가(P<0.05)。결론결혈성뇌졸중후신경원성탄인장애적발병솔교고，기발생동다충인소밀절상관，침대결혈성뇌졸중후신경원성탄인장애적영향인소채취상응적예방화간예조시，가강저신경원성탄인장애적발생솔。
Objective To analyze the impact factors of neutrogena dysphasia after ischemic stroke. MethodsClinical data of 310 cases of ischemic stroke patients were retrospectively analyzed, analysis of ischemic stroke effects of neutrogena dysphasia factor.Results310 cases involved in the investigation of patients with ischemic stroke, which occurred in 47 patients with neutrogena dysphasia, 15.16% of the total number of patients. neutrogena swallowing disorders incidence of female patients than male patients were significantly improved with significant differences(P<0.05), patients aged ≤ 50 years of age the incidence of dysphasia compared with 51 to 75 years and 75 years and older age group was significantly lower(P<0.05 ), increases with age, increased incidence of dysphasia. The incidence of recurrent ischemic stroke in patients with neutrogena dysphasia patients increased significantly compared with the starting(P<0.05), patients with high blood pressure, high cholesterol, swallowing disorders pneumonia compared with no significant increase in the incidence of complications in patients(P<0.05).ConclusionAfter ischemic stroke neutrogena dysphasia higher prevalence, which occurs with a variety of factors closely related factors for ischemic stroke after neutrogena dysphasia take appropriate prevention and intervention measures reduce neutrogena dysphasia incidence.
