中风后吞咽困难的发生率及相关因素
Frequency and factors associated with dysphagia in stroke.
作者信息
Mourão Aline Mansueto, Lemos Stela Maris Aguiar, Almeida Erica Oliveira, Vicente Laélia Cristina Caseiro, Teixeira Antonio Lúcio
机构信息
Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
出版信息
Codas. 2016 Jan-Feb;28(1):66-70. doi: 10.1590/2317-1782/20162015072.
PURPOSE
To investigate the frequency of dysphagia in acute stroke and the possible associated clinical and sociodemographic features.
METHOD
A cross-sectional study was performed including 100 stroke patients who were admitted to the Minas Gerais Regional Public Hospital. Sociodemographic and clinical data were collected, and the patients underwent clinical evaluation through the Gugging Swallowing Screen (GUSS).
RESULTS
The frequency of dysphagia was 50%, and most patients had severe swallowing disorders. Only a previous history of stroke was associated with dysphagia (p=0.02). Other sociodemographic and clinical variables were not associated with dysphagia, suggesting that the location and the pathophysiology of stroke did not influence its occurrence and severity.
CONCLUSION
The frequency of dysphagia after stroke is high, being a previous stroke an important risk factor for subsequent stroke.
目的
研究急性卒中患者吞咽困难的发生率以及可能相关的临床和社会人口学特征。
方法
进行了一项横断面研究，纳入了100名入住米纳斯吉拉斯地区公立医院的卒中患者。收集了社会人口学和临床数据，并通过古金吞咽筛查（GUSS）对患者进行临床评估。
结果
吞咽困难的发生率为50%，大多数患者存在严重的吞咽障碍。只有既往卒中史与吞咽困难相关（p = 0.02）。其他社会人口学和临床变量与吞咽困难无关，这表明卒中的部位和病理生理学不影响其发生和严重程度。
结论
卒中后吞咽困难的发生率很高，既往卒中是随后发生卒中的一个重要危险因素。
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