Ghoreyshi Zahra, Nilipour Reza, Bayat Narges, Nejad Samaneh Sazegar, Mehrpour Masoud, Azimi Tabassom
Department of Speech Therapy, University of Social Welfare and Rehabilitation Sciences, Second Floor, Building No 2, Koodakyar Ave., Daneshjo Blvd, 1985713834 Tehran, Iran.
Department of Neurology, Iran University of Medical Sciences, Hemat Highway, 1449614535 Tehran, Iran.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5685-5695. doi: 10.1007/s12070-021-03006-9. Epub 2021 Nov 30.
Stroke is a major cause of serious disabilities in adults. While communication deficits post stroke are prevalent and disabling, early detection of them is important during acute phase. There is limited data published on the incidence of communication disorders in Persian speaking adults following post stroke to our knowledge. The present study aims to determine the incidence and associated factors of aphasia, cognitive deficits, motor speech disorders (apraxia and dysarthria) as well as dysphagia following acute post stroke in Persian speaking adults. 100 stroke patients were assessed using P-WAB, MMSE, Oral Apraxia test, Informal Dysarthria assessment, and MASA. The data was collected from 2 hospitals in Tehran using convenient sampling for the duration of 1 year. Based on our findings, the incidence of aphasia, cognitive deficits, oral apraxia, dysarthria, and dysphagia was in respectively 61.8%, 76%, 30%, 61%, and 39% of stroke patients during the acute phase. Patients with aphasia were significantly older (mean age, 59.29 vs. 64.95), and had fewer education years (9.21 vs. 5.45) compared to individuals without aphasia ( < .05). Co-occurrence of aphasia and dysarthria, dysphasia, cognitive deficits, and apraxia was in respectively 40%, 31%, 55%, and 25%. Due to the high incidence of neurogenic communication disorders and dysphagia during the acute post stroke, especially in the elderly and the less educated patients, prompt and rapid detection of these deficits and rehabilitation is essential to ameliorate patients' quality of life and social participation, and reduce the comorbidities risk.
中风是成年人严重残疾的主要原因。虽然中风后的沟通障碍很普遍且会导致残疾，但在急性期尽早发现这些障碍很重要。据我们所知，关于波斯语成年中风患者沟通障碍发生率的公开数据有限。本研究旨在确定波斯语成年中风患者急性中风后失语症、认知缺陷、运动性言语障碍（失用症和构音障碍）以及吞咽困难的发生率和相关因素。使用波斯-西部失语症成套测验（P-WAB）、简易精神状态检查表（MMSE）、口腔失用症测试、非正式构音障碍评估和改良的波士顿失语症诊断性检查（MASA）对100名中风患者进行了评估。在1年的时间里，采用方便抽样的方法从德黑兰的2家医院收集了数据。根据我们的研究结果，在急性期，中风患者中失语症、认知缺陷、口腔失用症、构音障碍和吞咽困难的发生率分别为61.8%、76%、30%、61%和39%。与无失语症的个体相比，失语症患者年龄显著更大（平均年龄，59.29岁对64.95岁），受教育年限更少（9.21年对5.45年）（P<0.05）。失语症与构音障碍、言语困难、认知缺陷和失用症的共现率分别为40%、31%、55%和25%。由于中风后急性期神经源性沟通障碍和吞咽困难的发生率很高，尤其是在老年患者和受教育程度较低的患者中，及时快速地发现这些缺陷并进行康复治疗对于改善患者的生活质量和社会参与度以及降低合并症风险至关重要。
