关于吞咽困难与急性卒中后并发症和结局之间的关系在已发表的资料中尚无结论。作者就121例急性卒中住院病人进行前瞻性研究,方法是于入院24小时内由一位主治医师进行标准的床边检查,卒中开始后3天内在暗室内行电视荧光屏(VF)检查,记录吸入现象。主要结局评估包括死亡率、神经功能结果、住院时间、住院期间肺部感染的发生、营养状态和水平衡情况等。 The relationship between dysphagia and post-acute stroke complications and outcomes has not been conclusive in the published literature. The authors prospectively studied 121 inpatients with acute stroke by conducting a standard bedside examination by an attending physician within 24 hours of admission and performing a VF examination in a dark room within 3 days after the onset of stroke to document inhalation phenomenon. The primary outcome measures included mortality, neurological outcome, length of hospital stay, incidence of pulmonary infection during hospitalization, nutritional status and water balance.