后顱窩術(shù)后病人獲得性吞咽障礙危險(xiǎn)因素分析

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Abstract  Objective：To investigate the status quo and risk factors of acquired dysphagia in patients after posterior cranial fossa surgery，and to provide reference for early intervention of dysphagia and optimization of postoperative rehabilitation.Methods：A total of 290 patients admitted to our hospital for posterior cranial fossa surgery from January to September 2021 were selected as the research objects.The general information and related indicators of swallowing disorders were collected.Standardized Swallowing Assessment was used to evaluate patients 4 h after tracheal intubation was removed.Logistic regression analysis was used to screen the main risk factors，and ROC curve and swallowing function recovery time curve were drawn.Results：There were 113 patients had dysphagia，accounting to 38.97%.The recovery time of swallowing function was （9.49±10.06） days.Logistic regression showed that lesion size and grade of facial paralysis were risk factors of acquired dysphagia in patients after posterior cranial fossa surgery.Conclusion：The incidence of acquired dysphagia in patients after posterior cranial fossa surgery was relatively high.Lesion range and facial paralysis grade could be used to diagnose the occurrence of acquired dysphagia in patients after posterior cranial fossa surgery.Nursing staff should pay attention to the swallowing function of patients after posterior cranial fossa lesion and implement nursing intervention early.

Keywords  posterior cranial fossa lesion； dysphagia； risk factors； recovery time； nursing

摘要  目的：調(diào)查后顱窩術(shù)后獲得性吞咽障礙的發(fā)生現(xiàn)狀及危險(xiǎn)因素，為早期干預(yù)吞咽障礙和優(yōu)化術(shù)后康復(fù)方案提供參考。（剩余10151字）