Huang Yung-Sheng, Sun Mu-Chien, Hsu Po-Chi, Chen Yu-Liang, Chiang John Y, Lo Lun-Chien
Department of Traditional Chinese Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Stroke Center and Department of Neurology, Changhua Christian Hospital, Changhua, Taiwan.
Evid Based Complement Alternat Med. 2017;2017:3195749. doi: 10.1155/2017/3195749. Epub 2017 Mar 6.
. Patients suffering from stroke exhibit different levels of capability in retroflex tongues, in our clinical observation. This study aims to derive the association of tongue retroflexibility with the degree of severity for stroke patients. . All ischemic stroke patients were collected from August 2010 to July 2013 in the Stroke Center, Changhua Christian Hospital, Taiwan. All participants underwent medical history collection and clinical examination, including tongue images captured by ATDS. Statistical analysis was performed to compare the differences of ischemic stroke patients with and without retroflex tongue. . Among the total of 308 cases collected, 123 patients cannot retroflex their tongues, that is, the non-RT group. The length of stay in the non-RT group, 32.0 ± 21.5, was longer than those of the RT counterparts, 25.9 ± 14.4 ( value: 0.007). The NIHSS on admission, 14.1 ± 7.8 versus 8.9 ± 5.2, was higher and the Barthel Index upon admission, 18.6 ± 20.7 and 35.0 ± 24.2, was lower for the non-RT patients than that of the RT counterparts. Also, the non-RT patients account for 60.2% and 75.6% for Barthel Index ≤ 17 and NIHSS ≥ 9, respectively. . The stroke patients in non-RT group showed significantly poor prognosis and were more serious in the degree of severity and level of autonomy than RT group, indicating that the ability to maneuver tongue retroflex can serve as a simple, reliable, and noninvasive means for the prognosis of ischemic stroke patients.
在我们的临床观察中，中风患者表现出不同程度的卷舌能力。本研究旨在探讨中风患者的卷舌灵活性与严重程度之间的关联。2010年8月至2013年7月期间，从台湾彰化基督教医院中风中心收集了所有缺血性中风患者。所有参与者均接受了病史采集和临床检查，包括通过自动舌部动态系统（ATDS）拍摄的舌部图像。进行统计分析以比较有卷舌和无卷舌的缺血性中风患者之间的差异。在总共收集的308例病例中，有123例患者无法卷舌，即非卷舌组。非卷舌组的住院时间为32.0±21.5天，长于卷舌组的25.9±14.4天（P值：0.007）。非卷舌组患者入院时的美国国立卫生研究院卒中量表（NIHSS）评分（14.1±7.8）高于卷舌组的（8.9±5.2），入院时的巴氏指数（Barthel Index）（18.6±20.7和35.0±24.2）低于卷舌组。此外，对于巴氏指数≤17和NIHSS≥9的情况，非卷舌组患者分别占60.2%和75.6%。非卷舌组的中风患者预后明显较差，严重程度和自主能力水平均比卷舌组更严重，这表明卷舌动作能力可作为缺血性中风患者预后的一种简单、可靠且无创的评估手段。
