缺血性脑卒中后神经源性吞咽障碍的影响因素分析

Analysis of factors influencing neutrogena dysphasia after ischemic stroke

目的：分析缺血性脑卒中后神经源性吞咽障碍的影响因素。方法回顾性分析310例缺血性脑卒中患者的临床资料，分析缺血性脑卒中后神经源性吞咽障碍的影响因素。结果参与调查的310例缺血性脑卒中患者，其中47例患者出现神经源性吞咽障碍，占总患者数的15.16%。女性患者的神经源性吞咽障碍发生率较男性患者明显提高，差异具有统计学意义（P〈0.05），年龄≤50岁患者吞咽障碍发生率较51~75岁和75岁以上年龄段明显降低（P〈0.05），随着患者年龄增加，吞咽障碍发生率随之增加。缺血性脑卒中复发患者神经源性吞咽障碍的发生率较首发患者明显增加（P〈0.05），患者并发高血压、高血脂、肺炎的吞咽障碍发生率较未有并发症患者明显增加（P〈0.05）。结论缺血性脑卒中后神经源性吞咽障碍的发病率较高，其发生同多种因素密切相关，针对缺血性脑卒中后神经源性吞咽障碍的影响因素采取相应的预防和干预措施，可降低神经源性吞咽障碍的发生率。

Objective To analyze the impact factors of neutrogena dysphasia after ischemic stroke. MethodsClinical data of 310 cases of ischemic stroke patients were retrospectively analyzed, analysis of ischemic stroke effects of neutrogena dysphasia factor.Results310 cases involved in the investigation of patients with ischemic stroke, which occurred in 47 patients with neutrogena dysphasia, 15.16% of the total number of patients. neutrogena swallowing disorders incidence of female patients than male patients were significantly improved with significant differences（P〈0.05）, patients aged ≤ 50 years of age the incidence of dysphasia compared with 51 to 75 years and 75 years and older age group was significantly lower（P〈0.05 ）, increases with age, increased incidence of dysphasia. The incidence of recurrent ischemic stroke in patients with neutrogena dysphasia patients increased significantly compared with the starting（P〈0.05）, patients with high blood pressure, high cholesterol, swallowing disorders pneumonia compared with no significant increase in the incidence of complications in patients（P〈0.05）.ConclusionAfter ischemic stroke neutrogena dysphasia higher prevalence, which occurs with a variety of factors closely related factors for ischemic stroke after neutrogena dysphasia take appropriate prevention and intervention measures reduce neutrogena dysphasia incidence.