The therapeutic roles of enteral nutrition support in stroke patients with aphagia / 肠外与肠内营养

Objectives:To study the therapeutic roles of enteral nutrition support in the stroke patients with aphagia. Methods:1000 ml of Nutrison(made in NUTRICIA) was used daily with naso gastric tube feeding soon after the admission in 54 patients receiving routine treatment and other 53 cases without being feed nutrition treated routinely as control.These two groups were further divided into two subgroups based on exist of unconsciousness.Subgroup A refers the unconsciousness patients unable to have dinner,while in subgroup B patients with swallow dysfunction were consciousness.The descending degree of neuro function deficiency scores(DDNFDS) following three weeks,morbidity of aspirating pneumonia and relating nutritional parameters in two groups were recorded. Results:DDNFDS following three weeks,morbidity of aspirating pnemonia and stress induced ulcer,and mortality,and the nutritional status were better in Nutrison applied group. Conclusions:The early enteral nutritional support is beneficial to the stroke patients unable to take dinner in aspects of the improvement of nutrition status and the decrease of morbidity and mortality

Clinical and imaging features of top of the basilar artery syndrome / 临床神经病学杂志

Objective To discuss the clinical manifestation of top of the basilar artery syndrome (TOBS) and its features of magnetic resonance imaging (MRI)/cerebral digital subtraction angiography (DSA). Method The clinical data of 30 cases with TOBS admitted during past four years were analyzed. Results The clinical manifestation of TOBS comprised the sudden vertigo and unconsciousness with the ophthalmoplegia and the abnormality of the pupils,as well as the paralysis,partial blindness or cortical blindness and ataxia and memory impairment. MRI showed the local infarction in thalami, cerebellum, midbrain, lobus occipitals , pons, temporal inner surface and splenium of corpus callosum. The features of DSA are occlusion and stenosis in basilar artery and vertebral artery. Conclusions The diagnose of TOBS depends mainly on the clinical manifestation and MRI. The DSA application in TOBS can offer the possible location of vascular lesion, and instruct treatment and prevention for TOBS.

Study of rehabilitation to stroke patients with dysphagia / 临床神经病学杂志

Objective To study the effect of rehabilitation in stroke patients with dysphagia. Methods 31 cases with dysphagia were randomly divided into rehabilitation group (17 cases) and control group (14 cases). Two groups were given same basic therapy on the whole, while the early rehabilitation was performed on the patients in rehabilitation group three times a day for 3 weeks. We compared assessment score of dysphagia by VFSS (videofluoroscopic swallowing study), and observed serum potassium, sodium, albumin levels and the incidence of inhalation-pneumonia in two groups before and after treatment. Results VFSS score (7.2?2.1) of rehabilitation group was markedly higher than before treatment (4.0?1.9) and control group (4.7?2.1)(all P0.05).Conclusions Rehabilitation has a remarkable effect on stroke patients with dysphagia.