中国康复2024，Vol.1Issue(10)：589-593,5.DOI:10.3870/zgkf.2024.10.003
脑卒中后吞咽障碍患者进食不同稠度食物时发生误吸的影响因素分析
Analysis of Factors Influencing Aspiration in Post-Stroke Patients with Dysphagia When Consuming Foods
摘要
Abstract
Objective:This study aims to investigate the factors influencing aspiration in stroke patients with dys-phagia when consuming foods of varying consistencies using video fluoroscopic swallowing study(VFSS).The find-ings are intended to provide clinical guidance for the prevention and treatment of aspiration in post-stroke patients.Methods:A retrospective analysis was performed on VFSS recordings from 123 stroke patients with dysphagia while consuming three different consistencies of foods:thin liquids,thick liquids,and puree.Aspiration served as the de-pendent variable,while independent variables included age,gender,clinical diagnosis,lesion location(brainstem vs.non-brainstem),delayed swallow initiation,oral propulsion difficulties,epiglottic residue,pyriform sinus residue,and cricopharyngeal dysfunction.Univariate analysis was conducted,followed by multivariate logistic regression for variables showing statistical significance.Results:Logistic regression analysis revealed that for thin liquids,brain-stem lesions and delayed swallow initiation were significantly associated with aspiration risk(OR=4.618,OR=2.323,both P＜0.05).For thick liquids,oral propulsion difficulties were identified as an independent risk factor(OR=3.840,P＜0.05).In patients consuming puree,both brainstem lesions and oral propulsion difficulties were significantly associated with aspiration(OR=2.683,OR=3.463,both P＜0.05).Conclusion:Stroke patients with brainstem lesions,delayed swallow initiation,or oral propulsion difficulties are at higher risk of aspiration when consuming thin liquids and puree.Additionally,patients with oral propulsion difficulties and non-brainstem lesions are more likely to aspirate when consuming thick liquids.关键词
吞咽障碍/吞咽荧光透视造影检查/误吸/脑卒中Key words
dysphagia/video fluoroscopic swallowing study/aspiration/cerebral apoplexy分类
医药卫生引用本文复制引用
徐婷,曹瀚元,卢容,崔晓阳,张伟,郑婵娟,吴美玲..脑卒中后吞咽障碍患者进食不同稠度食物时发生误吸的影响因素分析[J].中国康复,2024,1(10):589-593,5.基金项目
无锡市卫健委青年项目(Q202145) （Q202145）
