Potential hazards and preventive measures in patients with dysphagia after brain stem infarction / 中国医师进修杂志

ABSTRACT

ObjectiveTo explore the potential hazards and preventive measures in patients with dysphagia after brain stem infarction.Methods Seventy-eight patients with dysphagia after brain stem infarction were divided into indwelling gastric canal group(57 cases) and none-indwelling gastric canal group(21 cases).The pulmonary infection,respiratory tract obstruction,alimentary tract hemorrhage and deglutition function recovery were compared between the two groups.Results The rate of pulmonaryinfection in indwelling gastric canal group was significantly lower than that in none-indwelling gastric canal group [26.3％ (15/57) vs.81.0％ (17/21),P ＜ 0.01 ].The weight in indwelling gastric canal group was significantly higher than that in none-indwelling gastric canal group [ (65.3 ± 13.5 ) kg vs.(56.2 ± 13.2) kg,P ＜ 0.05 ].Two patients in none-indwelling gastric canal group occurred respiratory tract obstruction.There was no significant difference in deglutition function recovery and alimentary tract hemorrhage (P ＞ 0.05).ConclusionPulmonary infection,respiratory tract obstruction,gastrointestinal dysfunction and malnutrition are the potential hazards of dysphagia after brain stem infarction,and indwelling gastric canal,strengthening expectoration and promoting functional recovery are effective preventive measures.