Avelino Marcella Rachadel, Montibeller Cristiane Gonçalves, Luchesi Karen Fontes, Mituuti Cláudia Tiemi, Ribeiro Priscila Watson, Fagundes Diego Antonio, Furkim Ana Maria
Department of Speech-Language Pathology, Federal University of Santa Catarina, Florianópolis, Brazil.
Hospital Governador Celso Ramos, Florianópolis, Brazil.
NeuroRehabilitation. 2017;40(1):49-55. doi: 10.3233/NRE-161389.
Dysphagia can be a stroke sequelae and may impact patient prognosis. Thrombolytic therapy has been used as a treatment of choice which aims to reduce sequelae.
Assess the ability of dietary intake orally in subjects undergoing thrombolytic therapy and compare it with non-thrombolytic subjects post-ischemic stroke.
Documentary cross-sectional study with 87 post-ischemic stroke patients. Subjects were divided as to the type of neurological intervention: group 1 consisted of subjects undergoing brain reperfusion therapy or thrombolysis and group 2 for those undergoing no such therapy or non-thrombolysed. Data was obtained from the subjects relative to age, sex, level of oral dietary intake at the beginning of hospitalization and at discharge, length of hospital stay, comorbidities and site of neurological lesion.
Group 1 was composed of 39 patients while 48 patients were in group 2. Both groups consisted of subjects with similar mean age and balanced gender distribution. Both groups presented hypertension as the most frequent comorbidity. The individuals in group 1 demonstrated improvement of oral dietary intake (p = 0.002) and shorter hospital stay (p = 0.007) when compared with group 2.
There was greater improvement of oral dietary intake and shorter hospital stay for patients undergoing thrombolytic therapy.
吞咽困难可能是中风后遗症，且可能影响患者预后。溶栓治疗已被用作旨在减少后遗症的首选治疗方法。
评估接受溶栓治疗的受试者经口摄入食物的能力，并将其与缺血性中风后的非溶栓受试者进行比较。
对87例缺血性中风患者进行文献横断面研究。根据神经干预类型将受试者分组：第1组由接受脑再灌注治疗或溶栓的受试者组成，第2组由未接受此类治疗或未溶栓的受试者组成。从受试者处获取有关年龄、性别、住院开始时和出院时的经口饮食摄入量水平、住院时间、合并症和神经病变部位的数据。
第1组由39例患者组成，第2组有48例患者。两组受试者的平均年龄相似，性别分布均衡。两组中高血压都是最常见的合并症。与第2组相比，第1组的受试者经口饮食摄入量有所改善（p = 0.002），住院时间更短（p = 0.007）。
接受溶栓治疗的患者经口饮食摄入量改善更大，住院时间更短。
