关键词: 卒中; 吞咽障碍; 肺炎; 吸入性; 预测

Abstract: Objective To establish the clinical predictive model of aspiration pneumonia based on swallowing function in ischemic stroke inpatients.Methods Total 105 stroke patients had the clinical assessment of swallowing and videofluoroscopy swallowing study. Patients who had aspiration pneumonia were recorded. χ2 analysis and logistic regression analysis were used to select the associated predictors of aspiration pneumonia.Results Coughing after swallowing food, weakness of the tongue, residue food in the mouth after swallow, invalid swallow and voice change after swallow were associated with aspiration pneumonia during admission. Invalid swallow could predict aspiration pneumonia, the OR was 7.700 and the predictive accuracy was 83.8%.Conclusion Invalid swallow detected by clinical assessment of swallowing was the independent predictor of aspiration pneumonia.

Key words: Stroke; Deglutition disorders; Pneumonia; aspiration; Forecasting