脑梗死后吞咽困难预后的评估

Evaluating the Dysphagia Recovery after Cerebral Infarction

目的探讨判断脑梗死后吞咽困难预后的评估方法。方法对205例脑梗死后伴发吞咽困难的患者进行吞水实验,以改良的Barthel指数进行评分,根据牛津郡社区脑梗死分型(OCSP)进行分型。临床观察吞咽困难患者的预后情况。结果脑梗死后吞咽困难晚期恢复患者和早期恢复患者在吞水试验和改良的Barthel指数方面的差异均有统计学意义(P<0.001)。延髓梗死、延髓背外侧综合征、完全性前循环脑梗死的患者发生吞咽困难较其他类型的脑梗死伴发者更难恢复。结论判断脑梗死后吞咽困难的预后可以综合吞水实验、改良的Barthel指数和OCSP来进行。

Objective To explore the approaches of evaluating the dysphagia recovery after cerebral infarction.Methods Total 205 patients with dysphagia after cerebral infarction were undertaken the swallow test, modif ied Barthel index and were grouping according to Oxfordshire Community Stroke Project (OCSP). The recovery of dysphagia was observed clinically.Results There was signif icantly difference between late and early dysphagia recovery patients after cerebral infarction in swallow test and modif ied Barthel index(P<0.001). Dysphagia in patients with medulla oblongata infarction, Wallenberg syndrome and total anterior circulation infarct recovered more diffi cult than patients with other cerebral infarctions.Conclusion The recovery of dysphagia in cerebral infarction is judged synthetically by the swallow test, modifi ed Barthel index and OCSP subtypes.