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題 名 | 腦中風併吞嚥障礙患者造成吸入性肺炎及潛在性吸入之相關因子=The Correlative Factors of Aspiration Pneumonia and Silent Aspiration in Stroke Patients with Dysphagia |
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作 者 | 盧志輝; 王亭貴; 張允中; 陳信水; 謝富美; 賴金鑫; 連倚南; | 書刊名 | 慈濟醫學 |
卷 期 | 8:4 1996.12[民85.12] |
頁 次 | 頁293-300 |
分類號 | 415.922 |
關鍵詞 | 吸入性肺炎; 吞嚥障礙; 腦中風; 潛在性吸入; Aspiration pneumonia; Dysphagia; Stroke; Silent aspiration; |
語 文 | 中文(Chinese) |
中文摘要 | 吞嚥障礙是腦中風患者常見的併發症之一。吞嚥障礙不僅會影響病人的 進食功能,稍一不慎更會造成患者的吸入現象,甚至吸入性肺炎。有部分吞嚥障 礙患者由於其吸入現象是屬於潛在性的,患者及家屬常不易察覺,仍繼續讓患者 經口進食,冒著產生吸入性肺炎的危險而不知。所以,如何利用臨床檢查及吞嚥 電視螢光錄影檢查以便早期篩選高危險群病人,是處理這類病人的重要課題。 本研究回顧二年來於本部接受吞嚥評估及治療之47名腦中風患者,分析其臨床吞 嚥功能及電視螢光錄影的結果,探討癌人產生潛在性吸入、吸入現象及吸入性肺 炎之間的關係。希望藉此找出一些相關因子,以利早期推測高危險患者。結果發 現,在47名患者中有16名(34)有吸入性肺炎病史,電視螢光錄影則有32名(68)有吸 入造影劑現象,而其中62.5(20名)屬潛在性吸入。分析其相關因子,則發現潛在 性吸入是造成吸入性肺炎的主要危險因子(p=0.047)而臨床上之嘔吐反射消失,是 潛在性吸入的危險因子(p=0.023)。在說話有濡溼聲的病人其電視螢光錄影易出現 有吸入造影劑的情形(p=0.048)。此外患者發生嗆咳、舌頭及臉部肌肉的肌力減 退、智能減退與失語症存在,在有吸入性肺炎的病人比例都較高,但未達統計學 上的意義。(慈濟醫學1996:8:293-300) |
英文摘要 | Dysphagia is a common and serious problem following stroke. It afflicts the feeding ability of the patients, andmay result in aspiration and even aspiration pneumonia. For individuals with dysphagia, some of the aspirationhappened silently. If these patients are allowed to continue oral intake, they are at the risk of aspiration pneumonia. Inorder to manage the patients properly, it is important to screen this group of patients using delicate clinical evaluationand videofluoroscopic examination. This study included 47 stroke patients who were referred to our department for evaluation and management of dysphagia in the past two years. We analyzed the clinical swallowing function of the patients and the results ofvideofluoroscopic examination and tried to define the relationship between these disorders and the occurrence ofaspiration, silent aspiration as well as aspiration pneumonia. Aspiration pneumonia developed in 16 (34) of 47stroke patients, 32 (68) patients revealed barium aspiration in videofluoroscopic examination, of which, 20 (62.5)patients were silent aspiration. The results showed that silent aspiration was the only predictive factor for aspirationpneumonia (p=0.047), and absent swallowing reflex was the predictive factor for silent aspiration (p=0.023). In mostconditions, the wet voice in clinical evaluation coexisted with barium aspiration in videofluoroscopic examination(p=0.048). Choking, decreased tongue or facial muscle strength, impaired mentality, and the presence of aphasiawere more frequent in patients with aspiration pneumonia than in those without aspiration pneumonia, although therewere no statistical significances. (Tzu Chi Meet J 1996-, 8: 293-300) |
本系統中英文摘要資訊取自各篇刊載內容。