Risk Factors of Aspiration after Stroke and Evaluation of Swallowing Function by VFSS

doi:10.7517/issn.1674-0475.210315

Abstract

Abstract: This article discussed the risk factors of aspiration in stroke patients and the value of using contrast examination to assess the swallowing function of patients. A total of 90 patients with aspiration after confirmed stroke were selected as aspiration group, and 90 patients without aspiration after stroke were selected as control group during the same period. The risk factors of aspiration were analyzed, and the swallowing function of the two groups was evaluated by video fluoroscopic swallowing study (VFSS). The results showed that the NIHSS score, past stroke rate, and stroke location of the aspiration group were compared with the control group, and the difference was statistically significant. High NIHSS scores in stroke patients, previous stroke history, and brainstem stroke were independent risk factors for aspiration. The measured values of OTT and STT of patients in the aspiration group were higher than those of the control group, while the measured values of DT were lower than those of the control group. It shows that severe neurological deficits, brainstem stroke, and past history of stroke are risk factors for aspiration in stroke patients. The use of VFSS has high clinical value for detecting and diagnosing swallowing dysfunction in stroke patients.

Key words: stroke, aspiration, risk factors, video fluoroscopic swallowing study, swallowing function

LI Yanfang, CHEN Wei, ZHOU Xiaoxiang, WANG Xuejiao, BAO Qing. Risk Factors of Aspiration after Stroke and Evaluation of Swallowing Function by VFSS[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(6): 892-895.

References

[1] 周芳, 马艳, 李洁, 等. 食物性状改良对脑卒中吞咽障碍患者误吸的影响[J]. 中华物理医学与康复杂志, 2019, 41(12):913-915.
[2] Gallegos-Hernández J F, Díaz-Guzmán M E, Pichardo-Romero P A, et al. Swallowing-aspiration functional assessment in patients undergoing supracricoid subtotal laryngectomy with cricohyoidoepiglottopexy[J]. Gaceta Medica de Mexico, 2019, 154(6):131-138.
[3] 安德连, 杨诚, 戴萌, 等. 经口喂食功能食品对脑卒中患者吞咽功能的影响[J]. 中华物理医学与康复杂志, 2019, 41(12):909-912.
[4] 中华医学会神经病学分会脑血管病学组急性缺血性脑卒中诊治指南撰写组. 中国急性缺血性脑卒中诊治指南2010[J]. 中国全科医学, 2011, 14(35):4013-4017.
[5] 龙飞, 秦坤明, 廖声潮, 等. 用改良Graeb评分及GCS评分指导脑室出血的个体化治疗[J]. 中华危重病急救医学, 2019, 31(11):1373-1377.
[6] 谈颂, 常思远, 宋波, 等. 早期改良美国国立卫生研究院卒中量表评分对缺血性卒中预后的预测作用[J]. 中华神经科杂志, 2012, 45(3):154-157.
[7] 魏鹏绪. 基于VFSS/MBS的吞咽困难饮食调整策略[J]. 中国康复理论与实践, 2007, 13(8):745-747.
[8] 金日峰, 徐明花. ISBAR沟通模式对35例脑卒中吞咽障碍患者误吸发生的影响效果观察[J]. 延边大学医学学报, 2018, 41(3):206-207.
[9] 刘晟, 孟宪梅. 神经肌肉电刺激治疗脑卒中后吞咽障碍的研究进展及启示[J]. 护理研究, 2019, 33(1):63-67.
[10] 龙耀斌, 黎伟雄, 黄雅琳, 等. 脑梗死后吞咽障碍患者脑功能成像与吞咽功能相关性研究[J]. 中国全科医学, 2019, 22(6):726-730.
[11] 熊虎, 陈慧芳, 史靖, 等. 吞咽障碍诊断系统早期评估下个体化吞咽治疗对脑卒中后吞咽障碍患者疗效的影响[J]. 中国康复, 2019, 34(11):571-574.
[12] Park J S, Hwang N K, Kim H H, et al. Effect of neuromuscular electrical stimulation combined with effortful swallowing using electromyographic biofeedback on oropharyngeal swallowing function in stroke patients with dysphagia:A pilot study[J]. Medicine, 2019, 98(44):e17702.
[13] 李振亚, 汪秀玲. 数字化吞咽造影录像在急性缺血性脑卒中后吞咽障碍患者中的应用[J]. 中国数字医学, 2019, 14(11):65-67.

[1]	JIN Zhaowei, MA Feilong, ZHANG Dandan, CAO Hongwei. Correlation between Carotid Plaque Characteristics and Serum Hcy, Cys-C, ApoA1 and UA in Patients with Ischemic Stroke Complicated with T2DM Assessed by CTA [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(5): 1226-1230.
[2]	WU Binbin, YU Yongqiang. Correlation between CTP Whole-Cerebral Perfusion Imaging Parameters and Hcy and Its Diagnostic Value for Ischemic Stroke [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(5): 1269-1273.
[3]	MA Lifeng, WEN Dehui, YUAN Guili, LIU Hongqiang, ZHANG Liwei, XU Le, WANG Yicheng. Analysis of Carotid Plaque Characteristics on Superb Micro-vascular Imaging in Patients with Ischemic Stroke [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(5): 1304-1307.
[4]	JIN Hong, XIA Zongbao. Application of Right Heart Contrast Echocardiography Combined with Transesophageal Ultrasound in the Diagnosis of Cryptogenic Stroke in Young and Middle-aged People [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(5): 1313-1316.
[5]	TANG Yunjun, ZHANG Hailin, YANG Shengjie. The Value of CCTA in Diagnosing Left Coronary Artery Bifurcation Lesions and Its Risk Factors [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(4): 735-740.
[6]	YANG Shuyin, WANG Zheng. Observation of the Relationship between the Characteristics of Intracranial Vascular Plaque and Patients Prognosis Based on HR-MRI [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(4): 746-751.
[7]	WU Lei, HU Dong, GAO Xu, CAO Xuehua, LIU Jing. Study of CTA and CTP in Evaluating the Establishment of Collateral Circulation and Cerebral Perfusion in Patients with AIS [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(4): 778-783.
[8]	ZHANG Hongqiang, LI Rushen, WU Mingmin, SU Yuandong. Analysis of Intracranial Infection Factors and Diagnostic Value of CT and MRI in Patients after Craniocerebral Surgery [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(4): 917-921.
[9]	CHEN Shangchao, HU Mingyan. The Clinical Significance of TIBI Classification and TCD Blood Flow Reversal before and after Thrombolysis in MCA Occlusion Patients [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(3): 459-463.
[10]	ZHAO Hongying, ZHANG Huifang, YANG Guotao, GU Qianqian, WANG Wenhao, WANG Haibin. Predictive Value of Tan Score for Recurrent Infarction in Elderly Patients with AIS [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(3): 631-635.
[11]	ZHOU Yue, QI Enlin, LV Shiying, JIANG Lijie. Study of Carotid Atherosclerotic Plaque in Stroke Patients with T2DM by MRI [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(3): 636-640.
[12]	YU Chan, WANG Bei, YANG Yuan, DI Min. Value and Risk Factors of Echocardiography in the Diagnosis of Fetal Congenital Heart Disease [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(1): 156-160.
[13]	WANG Qin, DENG Zhongkui, CHEN Jingjing. Diagnosis of Carotid Plaque by High Resolution MRI 3D Black Blood Technique [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(1): 175-179.
[14]	RU Ning, YAO Mingren, BAI Xinping, WANG Youmeng. Application of Brain Magnetic Resonance Combined with Resting State fMRI in the Cognitive Impairment of Stroke Patients [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(1): 188-191.
[15]	QIU Chuanzhen, YANG Shaochun, LIU Ming, OUYANG Yian, YI Renhui, HUA Shunde. DSA, CTA Combined with MR Imaging to Evaluate the Relationship between Cerebral Branch Circulation and Prognosis of AIS Patients [J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(1): 192-197.