Smithard D G, O'Neill P A, Martin D F, England R
Department of Geriatric Medicine, South Manchester University Hospitals NHS Trust, UK.
Clin Rehabil. 1997 Feb;11(1):73-6. doi: 10.1177/026921559701100111.
To investigate the relationship between the side of stroke and the presence of aspiration on videofluoroscopy.
Observational prospective study.
Eighty-seven patients (50% female) admitted with an acute stroke to the University Hospital of South Manchester.
Patients admitted to the study underwent brain CT scanning and repeated videofluoroscopy.
CT scanning was performed within a median three days (interquartile range 2-4 days) following stroke and videofluoroscopic (VF) examination (median 2, interquartile range 1-4 days following stroke) of their swallow. Seventeen (19.5%) patients were noted to be aspirating. There were no significant relationships at this time between side or site of lesion and the presence of aspiration. A second assessment was carried out at a median time of 29 days (interquartile range 26-45) following acute stroke. Nine of 69 (13.5%) patients were noted to be aspirating, seven of whom, had right hemisphere lesions (p < 0.01).
Continuing aspiration may be related to the side of the cerebral lesion.
探讨中风部位与视频荧光吞咽造影检查中误吸情况之间的关系。
观察性前瞻性研究。
87例急性中风患者（50%为女性）入住南曼彻斯特大学医院。
纳入研究的患者接受脑部CT扫描及重复视频荧光吞咽造影检查。
中风后中位3天（四分位间距2 - 4天）内进行CT扫描，吞咽的视频荧光吞咽造影（VF）检查在中风后中位2天（四分位间距1 - 4天）进行。17例（19.5%）患者被发现有误吸情况。此时，病变部位或位置与误吸情况之间无显著关系。在急性中风后中位29天（四分位间距26 - 45天）进行了第二次评估。69例患者中有9例（13.5%）被发现有误吸，其中7例有右半球病变（p < 0.01）。
持续性误吸可能与脑部病变的部位有关。
