| 夏亚琴,
，穆景颂
，倪朝民
，冯萍
，祁冬晴
，刘郑
，许凤娟.颅脑损伤患者吞咽障碍的相关因素分析[J].神经损伤功能重建,2023,(7):391-395 |
| 颅脑损伤患者吞咽障碍的相关因素分析 |
| Factors Related to Dysphagia after Traumatic Brain Injury |
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| DOI： |
| 中文关键词: 颅脑损伤 吞咽障碍 相关因素 |
| 英文关键词: traumatic brain injury dysphagia related factors |
| 基金项目:江淮名医培育工程 |
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| 摘要点击次数: 1691 |
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| 中文摘要: |
| 目的：分析影响颅脑损伤患者吞咽障碍的相关因素。方法：回顾性分析颅脑损伤患者106例，对患者
入院时的性别、年龄、病程、损伤程度、损伤类型（开放性损伤、闭合性损伤）、治疗方式（急诊手术、保守治
疗、择期手术）、本次病程中是否康复干预、瘫痪侧别、并发症（尿路感染、肺部感染）、吞咽功能（功能性经口
摄食量表分级）、认知功能（Rancho Los Amigos认知功能分级）、言语功能（波士顿失语症严重程度分级）、肢
体运动功能（Brunnstrom分期）、日常生活自理能力（Barthel指数）、白蛋白、血白细胞、中性粒细胞、D-二聚
体、血钠、纤维蛋白原及尿酸等进行详细记录。以功能性经口摄食量表分级为因变量，首先采用单因素分
析，再进行线性逐步回归分析，筛选颅脑损伤吞咽障碍程度及预后的相关影响因素。结果：单因素分析显
示，损伤程度、瘫痪侧别、Rancho Los Amigos认知功能分级、波士顿失语症严重程度分级、Barthel指数、肢体
运动功能、肺部感染、尿路感染、白蛋白、纤维蛋白原、白细胞、中性粒细胞、尿酸、D-二聚体、血钠可能与颅
脑损伤吞咽障碍有关（P＜0.05）；线性逐步回归分析显示，右侧瘫痪、Rancho Los Amigos认知功能分级、Barthel指数、波士顿失语症严重程度分级与颅脑损伤吞咽障碍有关。结论：右侧瘫痪、认知障碍、日常生活自
理能力、言语障碍是颅脑损伤吞咽障碍的相关因素。 |
| 英文摘要: |
| To analyze the factors related to dysphagia after traumatic brain injury (TBI).
Methods: A total of 106 patients with TBI were retrospectively analyzed. The recorded clinical data included
patient sex, age, disease course, degree of injury, type of injury (open or closed), treatment (emergency surgery,
conservative treatment, or elective surgery), whether the patient received rehabilitation, paralytic side,
complications (urinary tract infection, lung infection), swallowing function (functional oral intake scale),
cognitive function (Rancho Los Amigos cognitive function grades), speech function (grades of Boston aphasia
severity), limb motor function (Brunnstrom stages), functionality in activities of daily living (Barthel index),
albumin, white blood cells, neutrophils, D-dimer, sodium, fibrinogen, and uric acid. Univariate analysis
followed by linear stepwise regression was conducted to screen the factors related to the degree of dysphagia
and prognosis of craniocerebral injury. The functional oral intake scale was used as the dependent variable.
Results: The univariate analysis showed that the degree of injury, paralytic side, cognitive function grade,
aphasia severity, Barthel index, limb motor function, lung infection, urinary tract infection, albumin, fibrinogen,
white blood cells, neutrophils, uric acid, D-dimer, and sodium were significantly correlated with the functional
oral intake scale (P<0.05). The linear stepwise regression analysis showed that right-sided paralysis, cognitive
function grades, Barthel index, and aphasia severity were correlated with dysphagia. Conclusion: Right-sided
paralysis, cognitive impairment, speech disorder, and functionality in actives of daily life were the factors
related to dysphagia after TBI. |
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