| 汪进丁,唐震宇,徐丽君,黄 卫,黄晨达,丁卫江.急性脑梗死部位及面积与吞咽障碍严重程度的关系[J].中国康复医学杂志,2009,24(11):1015~1017 |
| 急性脑梗死部位及面积与吞咽障碍严重程度的关系 点此下载全文 |
| 汪进丁 唐震宇 徐丽君 黄 卫 黄晨达 丁卫江 |
| 南昌大学第二附属医院神经内科，南昌，330006 |
| 基金项目： |
| DOI： |
| 摘要点击次数: 2149 |
| 全文下载次数: 1976 |
| 摘要： |
| 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。 |
| 关键词：急性脑梗死 吞咽障碍 梗死部位 梗死面积 |
| The relationship between the dysphagia severity and the location and size of cerebral infarction lesion in acute stroke Download Fulltext |
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| Dept. of Neurology, the Second Affiliated Hospital, Nanchang University, Nanchang，330006 |
| Fund Project: |
| Abstract: |
| 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. |
| Keywords:acute cerebral infarction dysphagia location of infartion lesion size of infarction lesion |
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