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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Laryngeal Closure during Swallowing in Stroke Survivors with Cortical or Subcortical Lesion
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Laryngeal Closure during Swallowing in Stroke Survivors with Cortical or Subcortical Lesion

机译：在患有皮质或皮质病变的中风幸存者中吞咽淋便症

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Background: One of the major, and most harmful, symptoms of dysphagia in stroke survivors is aspiration. Survivors of unilateral cortical strokes with dysphagia and resulting aspiration have been reported to have greater initiation delays in laryngeal closure than those who did not aspirate. Few studies have reported such data in survivors of subcortical stroke. Methods: This study measured initiation of laryngeal closure (ILC) and laryngeal closure duration (LCD) in 2 groups of subjects: 15 stroke survivors with cortical lesions and 15 stroke survivors with subcortical lesions. Means and standard deviations of ILC and LCD were analyzed on 5-mL thin liquid and 5-mL puree boluses using a 100-ms timer during subsequent analysis of videofluoroscopic swallowing examinations. Statistical comparisons were used by repeated measures analysis of variance. Significance level was set at P < .05. Results: ILC was significantly longer in stroke survivors with a subcortical lesion than in those with a cortical lesion for both bolus consistencies. However, there were no significant differences between the 2 groups in LCD. Stroke survivors with a subcortical lesion had a greater incidence of penetration or aspiration and silent aspiration than those with a cortical lesion and a longer delay in the ILC. Conclusions: Subcortical lesions may put these survivors at greater risk of aspiration due to delayed initial laryngeal closure and reduced oral and laryngeal sensation. The subcortical damage, which occurs at the basal ganglia, may interrupt the ILC. Published by Elsevier Inc. on behalf of National Stroke Association.
机译：背景：中风幸存者中吞咽困难的主要和最有害的症状之一是愿望的。据报道，单侧皮质中风的幸存者和由此产生的吸入者涉及喉部闭合的延迟比没有吸气的人更大的启动延误。少数研究报告了皮下卒中幸存者中的这种数据。方法：本研究测量了2组受试者中喉闭合（ILC）和喉闭合持续时间（LCD）的起始：15中风幸存者，皮质病变和15个中风幸存者具有皮质病变。在随后的荧光吞咽考试分析期间，在5ml薄液体和5-mL定时器上分析ILC和LCD的装置和标准偏差。通过重复措施对方差分析使用统计比较。显着性水平设定为P <.05。结果：ILC在卒中幸存者中显着更长，具有皮疹病变，而不是用于两种轧辊的皮质病变。然而，液晶显示中的2组之间没有显着差异。中风幸存者具有皮质片位病变具有比具有皮质病变的渗透或抽吸和沉默的抽吸发病率更大，并且ILC中的延迟延迟。结论：由于延迟的初始喉部闭合和口服和喉轰动，患者可能将这些幸存者提高吸入的风险。发生在基底神经节的皮质损伤可能会中断ILC。由elsevier公司发布代表国家冲程协会。

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