Lugger K E
Ohio State University Hospitals, Columbus 43201.
J Neurosci Nurs. 1994 Apr;26(2):78-84. doi: 10.1097/01376517-199404000-00005.
Of all strokes 75% occur in people over age 65, and the incidence of stroke rises with age. Because swallowing problems often result, the elderly stroke patient is at risk for dysphagia and its complications. Acute and chronic swallowing problems are associated with many complications including dehydration, malnutrition, aspiration, pneumonitis, depression and even death. These complications make swallowing problems in the aged stroke patient an important focus for nursing attention. Nurses must be aware of the complexity of normal swallowing mechanisms, knowledgeable about the aged stroke patient's risk for dysphagia, aware of the importance of early detection and treatment of dysphagia and confident about their role in dysphagia assessment and treatment regimen. This information can be used in the assessment, treatment and rehabilitation of the elderly dysphagic stroke patient.
在所有中风病例中，75%发生在65岁以上的人群中，且中风的发病率随年龄增长而上升。由于经常会出现吞咽问题，老年中风患者有吞咽困难及其并发症的风险。急性和慢性吞咽问题与许多并发症相关，包括脱水、营养不良、误吸、肺炎、抑郁甚至死亡。这些并发症使老年中风患者的吞咽问题成为护理关注的重要焦点。护士必须了解正常吞咽机制的复杂性，知晓老年中风患者吞咽困难的风险，意识到早期发现和治疗吞咽困难的重要性，并对自己在吞咽困难评估和治疗方案中的作用充满信心。这些信息可用于老年吞咽困难中风患者的评估、治疗和康复。
