Association between stroke-induced lesions and dysphagia severity:a retrospective cohort study
10.3969/j.issn.1001-1242.2025.04.008
- VernacularTitle:脑卒中病灶与吞咽障碍严重程度的关联:回顾性队列研究
- Author:
Yichen JIANG
1
;
Qin SHEN
;
Guangyue ZHU
Author Information
1. 上海市瑞金康复医院康复医学科,上海市,200023;上海中医药大学康复医学院;中医智能康复教育部工程研究中心
- Publication Type:Journal Article
- Keywords:
post-stroke dysphagia;
video fluoroscopic swallowing study;
stroke lesion location
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(4):528-533
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the correlation between the location of stroke lesions and the severity of post-stroke dysphagia(PSD),aiming to identify early predictors of dysphagia.Method:From January 2021 to September 2023,125 patients with PSD were divided into supratentorial and infratentorial groups according to their lesions.The correlation between the severity of dysphagia and the severi-ty of complications was compared.VFSS was used to evaluate the severity of swallowing and PAS and CT-CAE5.0 were used to evaluate the severity of complications.Binary and multivariate logistic regression analysis was used to determine the independent influencing factors of dysphagia and complications.Result:There was a significant correlation between the severity of dysphagia(whole process,oral stage,phar-ynx and larynx)and the lesion locations(P＜0.01,P＜0.014,P＜0.02).Damage under the tentorium of the cere-bellum and increase in age are more likely to cause more severe dysphagia.The correlation between the focus and the severity of complications after stroke was statistically significant.The correlation between the focus and the severity of complications after stroke was statistically significant(P=0.005,P=0.001).The focus under the tentorium of the cerebellum was more likely to aggravate the severity of complications.Conclusion:The severity of dysphagia after stroke is related to the location of stroke focus,and the severity of dysphagia is related to the severity of aspiration and the occurrence of pneumonia.
