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首页> 外文期刊>Journal of rehabilitation medicine : >Temporal trends in oral intake ability 3 months after acute ischaemic stroke: Analysis of a single-centre database from 2003 to 2011
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Temporal trends in oral intake ability 3 months after acute ischaemic stroke: Analysis of a single-centre database from 2003 to 2011

机译：急性缺血性中风后3个月的口服摄入能力的时间趋势：2003年至2011年单中心数据库的分析

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Objective: To analyse the 9-year trend in oral intake ability 3 months after onset in acute stroke patients, with a view to indirect clarification of advances in acute stroke treatment and swallowing rehabilitation. Methods: A database of patients admitted to our hospital (Saiseikai Kumamoto Hospital, Kumamoto) with acute ischaemic stroke between 2003 and 2011 was analysed. Exclusion criteria were: patients with premorbid modified Rankin Scale score ≥ 1; those who died during hospital stay; and those whose outcomes after 3 months were not recorded. Mode of nutritional intake was investigated with a questionnaire posted to the patient 3 months after stroke onset. Patients were divided into 2 groups according to mode of nutritional intake: an oral intake group and a non-oral intake group. Whether the date or year of admission were related to the proportion of patients with oral intake, independent of other factors, was investigated using a logistic regression model. Results: Of a total of 2,913 patients, 2,677 (91.9%) were included in the oral intake group. The proportion of patients with oral intake 3 months after stroke increased significantly over the period of analysis (p = 0.034 by Cochran-Armitage test). On logistic regression analysis, the trend was significant after adjustment for age, sex, vascular risk factors, stroke subtype, and stroke severity on admission (odds ratio 1.098, 95% confidence interval 1.029-1.173; per 1 year). Conclusion: The proportion of ischaemic stroke patients in the institution studied who were capable of oral intake at 3 months post-stroke increased significantly over the past decade, independent of other patient characteristics.
机译：目的：分析急性中风患者发病3个月后口服摄入量的9年趋势，以期间接阐明急性中风治疗和吞咽康复的进展。方法：分析2003-2011年间我院（熊本县赛成会熊本医院）急性缺血性卒中患者的数据库。排除标准为：病前改良兰金量表评分≥1的患者;在住院期间死亡的人; 3个月后未记录结局的患者。在中风发作后3个月向患者发布一份问卷调查营养摄入的方式。根据营养摄入的方式将患者分为两组：口服和非口服。使用逻辑回归模型调查了入院日期或入院年份是否与口服摄入患者的比例有关，而与其他因素无关。结果：在总共2,913例患者中，有2,677例（91.9％）被纳入了口服摄入组。在分析期间，卒中后3个月口服摄入的患者比例显着增加（根据Cochran-Armitage测试，p = 0.034）。在逻辑回归分析中，校正年龄，性别，血管危险因素，卒中亚型和入院卒中严重程度后，趋势显着（赔率比1.098，95％置信区间1.029-1.173;每1年）。结论：在过去的十年中，研究所研究的缺血性卒中患者中风后3个月能够口服的比例显着增加，而与其他患者特征无关。

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