| 孙伟平,阿依古丽·艾山,刘 冉,孙 葳,黄一宁.急性脑卒中患者发生误吸的危险因素分析[J].中国康复医学杂志,2010,25(2):131~134 |
| 急性脑卒中患者发生误吸的危险因素分析 点此下载全文 |
| 孙伟平 阿依古丽·艾山 刘 冉 孙 葳 黄一宁 |
| 北京大学第一医院神经内科，北京，100034 |
| 基金项目：国家十五科技攻关计划科研基金资助项目（2003BA712A 11-9） |
| DOI： |
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| 摘要： |
| 摘要
目的：探讨急性脑卒中患者误吸的发生率及其危险因素。
方法：71例急性脑卒中患者根据纤维鼻咽喉镜吞咽功能检查（FEES）的结果分为误吸组和无误吸组。对可能影响卒中后误吸发生的危险因素进行多因素Logistic回归分析。
结果：急性脑卒中患者误吸的发生率为50.7%，36.1%的误吸患者为无症状性误吸。单因素分析显示年龄、脑卒中史和卒中严重程度是卒中后误吸的危险因素(P<0.05)。多因素Logistic回归分析表明严重卒中（OR＝5.778，95%CI 1.123—29.737）和既往有脑卒中史（OR=3.302，95%CI 1.174—9.293）是卒中后误吸的独立危险因素。
结论：误吸是脑卒中急性期的常见问题，严重卒中（NIHSS>10分）和脑卒中史是卒中后误吸的独立危险因素。
关键词 脑血管意外；误吸；危险因素
中图分类号：R743.3,R493 文献标识码：A 文章编号：1001-1242（2010）-02-0131-04 |
| 关键词：脑血管意外 误吸 危险因素 |
| Risk factors of misaspiration in acute stroke patients Download Fulltext |
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| Department of Neurology, Peking University First Hospital, Beijing, 100034 |
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| Abstract: |
| Abstract
Objective：To investigate the incidence rate and the risk factors of misaspiration in acute stroke patients.
Method：Seventy-one patients with acute stroke from April 2005 to January 2006 were analyzed in this study. They were divided into two groups according to the results of Fiberoptic Endoscopic Examination of Swallowing（FEES）: misaspiration group and non-misaspiration group. Multivariate logistic regression analysis was used to analyze the independent risk factors of post-stroke misaspiration.
Result：The incidence rate of misaspiration in acute stroke patients was 50.7%(36/71). Of them, 13 patients had silent misaspiration. Univariate analysis indicated that age, history of stroke and severity of stroke were correlated significantly with post-stroke misaspiration(P<0.05). However, the multivariate Logistic regression analysis selected the severity of stroke(OR＝5.778，95%CI 1.123—29.737) and history of stroke(OR=3.302，95%CI 1.174—9.293) as the independent risk factors of post-stroke misaspiration.
Conclusion： Misaspiration is a common problem in acute stroke patients. Severe stroke(NIHSS>10) and history of stroke are both the independent risk factors of post-stroke misaspiration |
| Keywords:cerebrovascular accident misaspiration risk factor |
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