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Detection of airway protective level of the cough reflex in acute stroke patients
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Pub Date : 2020-02-13 , DOI: 10.1186/s41983-020-0157-9 Ehab Shaker Belal , Samah Selim , Alshaimaa M. Aboul fotouh , Asmaa Mohammad
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Pub Date : 2020-02-13 , DOI: 10.1186/s41983-020-0157-9 Ehab Shaker Belal , Samah Selim , Alshaimaa M. Aboul fotouh , Asmaa Mohammad
Background The most common respiratory complications in cerebrovascular strokes were respiratory infection, pulmonary edema, acute lung injury (ALI) acute respiratory distress syndrome (ARDS) and pulmonary embolism (PE). The inhalation cough challenge facilitates the quantification of cough. Objectives To detect the level of cough reflex that is enough to protect against respiratory infection in stroke patients, and to identify predictors of post-stroke respiratory infection. Patients and methods One hundred and one of cerebrovascular stroke patients were assessed in the first week of symptoms by National Institutes of Health Stroke Scale (NIHSS) Arabic version, Mann Assessment of Swallowing Ability (MASA), cough challenge test, cough flow meter, and A2DS2 score. Then, follow up after 1 week. Results Post-stroke respiratory infection was higher in older patients and those who were not working. Respiratory infection was significantly associated with high A2DS2 and NIHSS score ( p value < 0.001). A highly significant increase in the levels of the inflammatory markers was detected in patients with a respiratory infection. Eighty percent of stroke patients with no cough developed a respiratory infection. The Mann total scores and the peak cough flow were lower in patients who had a respiratory infection. Conclusion Preserved cough reflex is essential in preventing aspirations and consequent respiratory infections.
中文翻译:
急性脑卒中患者咳嗽反射气道保护水平的检测
背景 脑血管卒中最常见的呼吸系统并发症是呼吸道感染、肺水肿、急性肺损伤 (ALI)、急性呼吸窘迫综合征 (ARDS) 和肺栓塞 (PE)。吸入咳嗽挑战有助于量化咳嗽。目的 检测足以预防卒中患者呼吸道感染的咳嗽反射水平,并确定卒中后呼吸道感染的预测因子。患者和方法 101 名脑血管卒中患者在症状出现的第一周通过美国国立卫生研究院卒中量表(NIHSS)阿拉伯语版、曼恩吞咽能力评估(MASA)、咳嗽激发试验、咳嗽流量计和A2DS2 分数。然后,1周后跟进。结果中风后呼吸道感染在老年患者和没有工作的患者中更高。呼吸道感染与高 A2DS2 和 NIHSS 评分显着相关(p 值 < 0.001)。在呼吸道感染患者中检测到炎症标志物水平的显着增加。80% 没有咳嗽的中风患者出现了呼吸道感染。呼吸道感染患者的曼恩总分和咳嗽峰值流量较低。结论 保留咳嗽反射对于预防误吸和随后的呼吸道感染至关重要。在呼吸道感染患者中检测到炎症标志物水平的显着增加。80% 没有咳嗽的中风患者出现了呼吸道感染。呼吸道感染患者的曼恩总分和咳嗽峰值流量较低。结论 保留咳嗽反射对于预防误吸和随后的呼吸道感染至关重要。在呼吸道感染患者中检测到炎症标志物水平的显着增加。80% 没有咳嗽的中风患者出现了呼吸道感染。呼吸道感染患者的曼恩总分和咳嗽峰值流量较低。结论 保留咳嗽反射对于预防误吸和随后的呼吸道感染至关重要。
更新日期:2020-02-13
中文翻译:
急性脑卒中患者咳嗽反射气道保护水平的检测
背景 脑血管卒中最常见的呼吸系统并发症是呼吸道感染、肺水肿、急性肺损伤 (ALI)、急性呼吸窘迫综合征 (ARDS) 和肺栓塞 (PE)。吸入咳嗽挑战有助于量化咳嗽。目的 检测足以预防卒中患者呼吸道感染的咳嗽反射水平,并确定卒中后呼吸道感染的预测因子。患者和方法 101 名脑血管卒中患者在症状出现的第一周通过美国国立卫生研究院卒中量表(NIHSS)阿拉伯语版、曼恩吞咽能力评估(MASA)、咳嗽激发试验、咳嗽流量计和A2DS2 分数。然后,1周后跟进。结果中风后呼吸道感染在老年患者和没有工作的患者中更高。呼吸道感染与高 A2DS2 和 NIHSS 评分显着相关(p 值 < 0.001)。在呼吸道感染患者中检测到炎症标志物水平的显着增加。80% 没有咳嗽的中风患者出现了呼吸道感染。呼吸道感染患者的曼恩总分和咳嗽峰值流量较低。结论 保留咳嗽反射对于预防误吸和随后的呼吸道感染至关重要。在呼吸道感染患者中检测到炎症标志物水平的显着增加。80% 没有咳嗽的中风患者出现了呼吸道感染。呼吸道感染患者的曼恩总分和咳嗽峰值流量较低。结论 保留咳嗽反射对于预防误吸和随后的呼吸道感染至关重要。在呼吸道感染患者中检测到炎症标志物水平的显着增加。80% 没有咳嗽的中风患者出现了呼吸道感染。呼吸道感染患者的曼恩总分和咳嗽峰值流量较低。结论 保留咳嗽反射对于预防误吸和随后的呼吸道感染至关重要。