Nghiên cứu tình trạng rối loạn nuốt và các yếu tố liên quan ở bệnh nhân đột quỵ cấp=Studying swallowing disorders and factors relevance in acute stroke patients

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Tác giả: Thị Ngọc Hà Đường, Thị Cúc Nguyễn, Thị Khánh Linh Nguyễn, Văn Tuyến Nguyễn, Văn Tuấn Tạ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.391-396

Bộ sưu tập: Metadata

ID: 477917

Thêm vào giỏ

Rối loạn nuốt (RLN) là tình trạng thường gặp sau đột quỵ. Đánh giá tình trạng RLN ở bệnh nhân (BN) đột quỵ cấp giúp đưa ra các chăm sóc về chế độ ăn hợp lý, giảm thiểu các biến chứng. Mục tiêu: Đánh giá tình trạng RLN và các yếu tố liên quan ở các BN Đột quỵ cấp. Đối tượng và phương pháp: Gồm 194 BN ĐQ cấp nhập viện trong 72 giờ đầu, được điều trị tại Trung tâm Đột quỵ Bệnh viện TWQĐ 108 từ tháng 12/2018 - 09/2021 thỏa các tiêu chuẩn chọn được đưa vào nghiên cứu. Kết quả: Nam 133 (68,6%), 61 nữ 61 (31,4%)
tuổi trung bình: 64,54± 13,84) tuổi
tỷ lệ BN nhồi máu não (NMN): 71,1%. Có 76,3% BN khi vào viện RLN qua sàng lọc bằng GUSS (39,2% mức độ nặng, 76,3% phải sonde ăn nuôi dưỡng), chiếm 39,2% tổng số BN đột quỵ. Tỷ lệ viêm phổi (14,2%) ở BN RLN và m bệnh nhân đột quỵ não cấp không có rối loạn nuốt với p<
0,01. Tại thời điểm ra viện còn 14,9% bệnh nhân còn rối loạn nuốt nặng, có 29 BN còn sonde ăn (chiếm 14,9%). Kết luận: Bệnh nhân đột quỵ não cấp có tỷ lệ rối loạn nuốt cao, làm tăng nguy cơ viêm phổi.Swallowing disorder is a common condition after stroke. Assessing the status of swallowing disorder in acute stroke patients helps provide appropriate dietary care and minimize complications. Objective: To evaluate the status of swallowing disorder and related factors in acute stroke patients. Subjects and methods: Includes 194 acute stroke patients admitted to the hospital within the first 72 hours, treated at the Stroke Center of Central Hospital 108 from December 2018 to September 2021, meeting the selection criteria to be included in the study. Result: Male 133 (68.6%), 61 female 61 (31.4%)
Average age: 64.54 ± 13.84 years old
Rate of patients with cerebral infarction: 71.1% to 76.3% of patients admitted to the stroke hospital were screened with GUSS (39.2% had severe severity, 76.3% required feeding tube), accounting for 39.2% of the total number of stroke patients. The rate of pneumonia (14.2%) in patients with swallowing disorder and acute stroke patients without swallowing disorders was p <
0.01. At the time of discharge, 14.9% of patients still had severe swallowing disorders, and 29 patients still had feeding tubes (accounting for 14.9%). Conclude: Patients with acute stroke have a high rate of swallowing disorders, increasing the risk of pneumonia.

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