《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (09): 536-539.

• 临床研究 • 上一篇    下一篇

脑卒中后吞咽困难的临床及影像学表现对不良结局的预测价值

张婧1; 王拥军1; 张姗姗2   

  1. 1.首都医科大学附属北京天坛医院神经内科 北京市 100050;2.第二军医大学附属上海长海医院普外科 上海市 200433
  • 收稿日期:2004-04-02 出版日期:2004-09-25 发布日期:2004-09-25

Predictive values of clinical and imagic characteristics of dysphagia to bad outcome

ZHANG Jing, WANG Yong-jun, ZHANG Shan-shan   

  1. Department of Neurology, Beijing Tiantan Hospital, Capital University of Medical Sciences, Beijing 100050, China
  • Received:2004-04-02 Published:2004-09-25 Online:2004-09-25

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摘要： 目的探讨临床及电视透视检查下特征对误吸、安静误吸、肺炎、营养状态等结局的预测价值。方法对临床评定及电视透视检查下的各种表现分别与穿透、误吸、安静误吸、住院期间肺炎、出院时营养状态分级等作X2 检验,以有统计学意义的表现为自变量对结局作Logistic回归分析。 结果临床表现可预测某些电视透视检查下的特征。并得出能够预测误吸、安静误吸、住院期间的肺炎及出院时的营养状态的临床表现和电视透视检查表现。结论了解临床和影像学检查对误吸、肺炎及营养状态的预测价值对临床有指导意义。

关键词: 脑卒中, 吞咽困难, 电视透视检查, 临床评定, 预后

Abstract: ObjectiveTo study predictive value of dysphagia manifestations in clinical physical and vediofluoroscopy exam for aspiration, silent aspiration, pneumonia and nutritional status. MethodsAll kinds of manifestations in clinical and videofluoroscopy were analyzed with chi square test according to number of patients with aspiration, silent aspiration, pneumonia and grades of nutritional status at discharge. Those manifestations with statistic significance were analyzed by Logistic regression to test their quantitive predictive value. ResultsClinical characteristics can predict some manifestations under videofluoroscopy and the manifestations which can predict aspiration, silent aspiration, pneumonia in hospital and nutrition status at discharge were attained.ConclusionThese clinical and imagic predictive manifestations to aspiration, pneumonia and nutrition status are attained, which may be useful to clinical practice.

Key words: stroke, dysphagia, videofluoroscopy, clinical characteristics, prognosis