缺血性脑卒中后神经源性吞咽障碍的影响因素分析

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1、缺血性脑卒中后神经源性吞咽障碍的影响因素分析【摘要】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%o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W50岁患者吞咽障碍发生率较5广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

2、.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。【关键词】缺血性脑卒中；神经源性吞咽障碍；影响因素AnalysisoffactorsinfluencingneutrogenadysphasiaafterischemicstrokeRAOYu.HuizhouPeople，sHospital,Huizhou516001,China[Abstract】Objecti

3、veToanalyzetheimpactfactorsofneutrogenadysphasiaafterischemicstroke・MethodsClinicaldataof310casesofischemicstrokepatientswereretrospectivelyanalyzed,analysisofischemicstrokeeffectsofneutrogenadysphasiafactor・ResuIts310casesinvolvedintheinvestigationofpatientswithischemicstroke,whichoccurredin

4、47patientswithneutrogenadysphasia,15.16%ofthetotalnumberofpatients,neutrogenaswallowingdisordersincidenceoffemalepatientsthanmalepatientsweresignificantlyimprovedwithsignificantdifferences(P<0.05),patientsagedW50yearsofagetheincidenceofdysphasiacomparedwith51to75yearsand75yearsandolderagegrou

5、pwassignificantlylower(P<0.05),increaseswithage,increasedincidenceofdysphasia.Theincidenceofrecurrentischemicstrokeinpatientswithneutrogenadysphasiapatientsincreasedsignificantlycomparedwiththestarting(P<0.05),patientswithhighbloodpressure,highcholesterol,swallowingdisorderspneumoniacomparedw

6、ithnosignificantincreaseintheincidenceofcomplicationsinpatients(P<0.05).ConclusionAfterischemicstrokeneutrogena.dysphasiahigherprevalence,whichoccurswithavarietyoffactorscloselyrelatedfactorsforischemicstrokeafterneutrogenadysphasiatakeappropriatepreventionandinterventionmeasuresreduceneutrog

7、enadysphasiaincidenee.［Keywords】Ischemicstroke；Neutrogenadysphasia；Influencingfactors随着我国进入老龄化社会，脑卒中患者呈现增加趋势，脑卒中具有发病率高，致残率和致死率高的特点，患者经及时治疗仍会产生后遗症，影响患者生活质量［1］。神经源性吞咽障碍是缺血性脑卒中常见并发症，发生率约为30%,神经源性吞咽困难可导致吸入肺炎，导致营养不良，严重甚至威胁患者生命安全，提高致残率和死亡率［2］。针对缺血性