Żdanowicz Anna, Sobkowiak Hanna, Gawrysiak Maciej, Wiszniewska Małgorzata
Department of Nursing, University of Applied Sciences, 64-920 Piła, Poland.
Neurological Department with Stroke Treatment Subdivision, Specialist Hospital, 64-920 Piła, Poland.
J Clin Med. 2025 Jan 29;14(3):900. doi: 10.3390/jcm14030900.
Management of the acute phase of ischemic stroke requires intensive interdisciplinary collaboration among medical personnel. Dysphagia, or swallowing disorders, represents a serious complication of stroke. Accurate diagnosis and identification of the causes of dysphagia are essential for implementing effective treatment. The aim of the study was to investigate the impact of age, acute stroke treatment, localization, comorbidities, and early rehabilitation on the severity and progression of dysphagia in patients with acute ischemic stroke. The study analyzed the severity and progression of dysphagia in patients with ischemic stroke, considering patient age, stroke localization, comorbidities, and the impact of thrombolytic therapy and early rehabilitation on swallowing outcomes. Severe dysphagia was more common among older patients and those with cardiovascular conditions. Early rehabilitation was particularly effective in improving swallowing in right hemisphere strokes, while thrombolytic therapy demonstrated benefits for patients under 65 years. Therapy led to an improvement in the condition of all patients with dysphagia following ischemic stroke. Further prospective research is needed to better understand swallowing disorders and optimize treatment.
缺血性中风急性期的管理需要医务人员之间进行深入的跨学科协作。吞咽困难，即吞咽障碍，是中风的一种严重并发症。准确诊断和确定吞咽困难的病因对于实施有效治疗至关重要。本研究的目的是调查年龄、急性中风治疗、病变部位、合并症以及早期康复对急性缺血性中风患者吞咽困难严重程度和进展的影响。该研究分析了缺血性中风患者吞咽困难的严重程度和进展情况，考虑了患者年龄、中风病变部位、合并症以及溶栓治疗和早期康复对吞咽结果的影响。严重吞咽困难在老年患者和患有心血管疾病的患者中更为常见。早期康复在改善右半球中风患者的吞咽功能方面特别有效，而溶栓治疗对65岁以下的患者显示出益处。治疗使所有缺血性中风后吞咽困难的患者病情得到改善。需要进一步开展前瞻性研究，以更好地了解吞咽障碍并优化治疗。
