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吞咽中枢病变与急性脑梗死OCSP分型的相关性研究

刘春红   

  1. 石河子大学医学院第一附属医院
  • 收稿日期:2011-06-23 修回日期:2011-09-07 出版日期:2012-02-15 发布日期:2012-02-15
  • 通讯作者: 刘春红

Study the correlation between lesions of deglutition center and acute Cerebral Infarction by OCSP classification of stroke

  • Received:2011-06-23 Revised:2011-09-07 Published:2012-02-15 Online:2012-02-15

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摘要： 【摘要】 目的 探讨急性脑梗死OCSP分型与吞咽中枢病变的相关性。方法 回顾性分析848例顺序入组的脑梗死患者的临床资料，分型按脑梗死OCSP分型，分为完全前循环梗死（TACI）、部分前循环梗死（PACI）、后循环梗死（POCI）和腔隙性梗死（LACI）四组，根据洼田饮水试验分为吞咽困难组和无吞咽困难组，对数据进行统计学分析。结果 脑梗死各型吞咽困难发生率存在统计学意义(P<0.05), 吞咽困难在TACI、POCI与其他2型之间差异有统计学意义(P<0.05)， TACI、PACI和LACI型吞咽困难与脑部单、双侧病变差异有统计学意义(P<0.05)，POCI型吞咽困难与脑部单、双侧病变无统计学意义（P>0.05）；TACI型吞咽困难与大脑单侧病变差异有统计学意义(P<0.05)， PACI、LACI型吞咽困难与大脑双侧病变差异有统计学意义(P<0.05)。结论 吞咽困难在脑梗死OCSP分型中TACI和POCI型发生率高，TACI型与脑部单侧病变相关，PACI和LACI型与脑部双侧病变相关，脑部单、双侧病变均可导致POCI型吞咽困难。

关键词: 急性脑梗死, 吞咽困难, OCSP分型, 吞咽中枢病变

Abstract: 【Abstract】Objective: To Study the correlation between lesions of deglutition center and acute Cerebral Infarction by OCSP classification of stroke. Methods: The clinical data of 848 patients into groups in order with acute cerebral were retrospectively analyzed. Cerebral infarction by OCSP classification of stroke were divided into the following 4 groups: TACI for the whole anterior circulation infarction, PACI for the partial anterior circulation infarction,POCI for the posterior circulation infarction and LACI for the lacunar infarction. Cerebral infarction by water swallow test were divided into the following 2 groups: dysphagia and non- dysphagia. Data related were collected and analyzed through statistics. Results: Dysphagia incidence of acute Cerebral Infarction by OCSP classification of stroke were significantly different(P＜0.05). Dysphagia incidence on TACI 、POCI –type and PACI 、LACI-type were significantly different(P＜0.05). Dysphagia incidence on TACI 、PACI 、LACI-type and brain of One-tailed or Double side were significantly different(P＜0.05). Dysphagia incidence on POCI-type and brain of One-tailed or Double side weren′t significantly different(P＞0.05). Dysphagia incidence on TACI-type and brain of One-tailed were significantly different(P＜0.05).Dysphagia incidence on PACI 、LACI-type and brain of Double side were significantly different(P＜0.05). Conclusion：Dysphagia incidence on TACI 、POCI –type of OCSP classification of stroke were high. There were relevant TACI-type of OCSP classification of stroke and lesions of brain of One-tailed. There were relevant PACI、 LACI-type of OCSP classification of stroke and lesions of brain of Double side．Lesions of brain of One-tailed　or Double side can lead dysphagia of POCI-type of OCSP classification of stroke.

Key words: acute Cerebral Infarction, dysphagia, OCSP classification of stroke, lesionsofdeglutition center