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中风幸存者中误吸或渗透的存在与吞咽困难临床指标之间的关系。

The Relation Between the Presence of Aspiration or Penetration and the Clinical Indicators of Dysphagia in Poststroke Survivors.

作者信息

Han Hyeju, Shin Gayoung, Jun Ahyoung, Park Taeok, Ko Doheung, Choi Eunhee, Kim Youngsun

机构信息

Division of Speech Pathology and Audiology, Hallym University, Chuncheon, Korea.

Department of Physical Medicine and Rehabilitation, Hallym University Medical Center, Chuncheon, Korea.

出版信息

Ann Rehabil Med. 2016 Feb;40(1):88-94. doi: 10.5535/arm.2016.40.1.88. Epub 2016 Feb 26.

DOI:10.5535/arm.2016.40.1.88
PMID:26949674
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4775763/
Abstract

OBJECTIVE

To examine the relation between the presence of penetration or aspiration and the occurrence of the clinical indicators of dysphagia. The presence of penetration or aspiration is closely related to the clinical indicators of dysphagia. It is essential to understand these relationships in order to implement proper diagnosis and treatment of dysphagia.

METHODS

Fifty-eight poststroke survivors were divided into two groups: patients with or without penetration or aspiration. Medical records and videofluoroscopic swallowing examinations were reviewed. The occurrence of clinical indicators of dysphagia between two groups was analyzed with Cross Tabulation and the Pearson chi-square test (p<0.05).

RESULTS

Poststroke survivors with penetration or aspiration had significantly high occurrences of delayed initiation of the swallow (p=0.04) and reduced hyolaryngeal elevation (p<0.01) than those without penetration or aspiration.

CONCLUSION

The results of this study indicate that delayed initiation of the swallow is a strong physiological indicator of penetration or aspiration during the oral stage of swallowing in poststroke survivors. For the pharyngeal stage of swallowing, hyoid and laryngeal elevation is a key event related to occurrence of penetration or aspiration. Clinical indicators should be investigated further to allow appropriate implementation of treatment strategies for stroke survivors.

摘要

目的

探讨渗透或误吸的存在与吞咽困难临床指标发生情况之间的关系。渗透或误吸的存在与吞咽困难的临床指标密切相关。了解这些关系对于实施吞咽困难的正确诊断和治疗至关重要。

方法

将58名中风后幸存者分为两组：有或无渗透或误吸的患者。回顾病历和视频荧光吞咽检查。采用交叉表和Pearson卡方检验（p<0.05）分析两组之间吞咽困难临床指标的发生情况。

结果

有渗透或误吸的中风后幸存者比无渗透或误吸的幸存者出现吞咽启动延迟（p=0.04）和舌骨喉抬高降低（p<0.01）的情况明显更多。

结论

本研究结果表明，吞咽启动延迟是中风后幸存者吞咽口腔期渗透或误吸的一个强有力的生理指标。对于吞咽咽期，舌骨和喉的抬高是与渗透或误吸发生相关的关键事件。应进一步研究临床指标，以便为中风幸存者适当实施治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8197/4775763/f2d78fa04242/arm-40-88-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8197/4775763/87a2f8fa7588/arm-40-88-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8197/4775763/f2d78fa04242/arm-40-88-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8197/4775763/87a2f8fa7588/arm-40-88-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8197/4775763/f2d78fa04242/arm-40-88-g002.jpg

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