Related factors for dysphagia in patients with recent small subcortical infarction:an analysis of 188 cases
10.3969/j.issn.1009-0126.2025.03.013
- VernacularTitle:近期皮质下小梗死患者吞咽障碍的相关因素分析
- Author:
Mingyu CUI
1
;
Xin LIU
1
;
Lijuan WANG
1
;
Ying LIU
1
;
Xin WEI
1
Author Information
1. 100190 北京市中关村医院神经内科
- Publication Type:Journal Article
- Keywords:
brain infarction;
deglutition disorders;
risk factors;
cerebrovascular disorders
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2025;27(3):313-316
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the incidence and risk factors of dysphagia in patients after re-cent small subcortical infarction(RSSI).Methods A total of 188 RSSI patients admitted to our department from May 2018 to May 2024 were enrolled,and according to Gugging swallowing screen(GUSS),they were divided into dysphagia group(GUSS score≤19,n=51)and non-dysphagia group(the score=20,n=137).The clinical manifestations and imaging data were com-pared between the two groups.Results When compared with the non-dysphagia group,the dys-phagia group had significantly older age,larger proportion of dysarthria,higher NIHSS and mRS scores,larger lesion diameter,higher incidence of pontine infarction,and higher scores of periven-tricular and deep white matter hyperintensities,but lower scores of mini-mental state examination and Montreal cognitive assessment(P＜0.05,P＜0.01).Binary logistic regression analysis showed that age,dysarthria,NIHSS score,lesion diameter,and pontine infarction were risk factors for dysphagia in RSSI patients(OR=1.203,95％CI:1.070-1.352;OR=34.464,95％CI:5.013-236.942;OR=4.579,95％CI:2.180-9.617;OR=0.623,95％CI:0.463-0.838;OR=0.020,95％CI:0.002-0.191,P＜0.01).Conclusion For RSSI patients,especially those with older age,larger lesion diameter,dysarthria,severe neurological deficits,and pontine infarction,clinicians should be alert to the occurrence of dysphagia in order to avoid serious complications.
