Sun Jie, Li Zeheng
Department of Clinical Medicine, Xuzhou Central Hospital, Xuzhou, Jiangsu Province, China, 221009.
Clinics (Sao Paulo). 2018;73:e182. doi: 10.6061/clinics/2018/e182. Epub 2018 Jun 18.
To compare the results respectively obtained from the utilization of 60% barium sulfate suspension and Iohexol as contrast agents for videofluoroscopic swallowing studies and the relationship between the clinical application of the two kinds of contrast agents and the incidence of pneumonia.
Sixty cases of stroke patients with dysphagia were selected in rehabilitation department of our hospital, and the gender, age, position of the disease, and stroke nature between groups had no significant difference. Among which, 30 patients who were administered 350 mgI/ml Iohexol, and the other 30 patients with 60% barium sulfate suspension as contrast agent. We performed videofluoroscopic swallowing studies with barium 60% versus Iohexol within 1 week after admission and 2 weeks after admission.
After 2 weeks in hospital, the aspiration pneumonia incidence of two groups was statistically significant (p<0.05), the pneumonia incidence of Iohexol group was lower than barium sulfate group which might have a impossble relevance with barium aspiration.
During the videofluoroscopic swallowing study of dysphagia after stroke, barium sulfate can enhance the pneumonia incidence, and Iohexol can be widely applied in videofluoroscopic swallowing study.
比较60%硫酸钡混悬液和碘海醇作为造影剂用于电视透视吞咽研究的结果，以及两种造影剂的临床应用与肺炎发生率之间的关系。
选取我院康复科60例吞咽困难的脑卒中患者，两组间性别、年龄、病变部位、卒中性质差异无统计学意义。其中，30例患者使用350mgI/ml碘海醇，另外30例患者使用60%硫酸钡混悬液作为造影剂。在入院后1周内和入院后2周内分别用60%硫酸钡和碘海醇进行电视透视吞咽研究。
住院2周后，两组的误吸性肺炎发生率差异有统计学意义（p<0.05），碘海醇组肺炎发生率低于硫酸钡组，这可能与钡剂误吸有关。
在脑卒中后吞咽困难的电视透视吞咽研究中，硫酸钡可增加肺炎发生率，碘海醇可广泛应用于电视透视吞咽研究。
