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gag reflex
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  咽反射
     This subject is a study on the variation regularity of PBP' s gag reflex in stroke to provide scientific clinical data for foumulating PBP' s unified and objective diagnosis standard and also an analysis of relative clinical factors on therapeutic effect on the treatment of PBP in stroke.
     本课题旨在研究中风病所致假性延髓麻痹咽反射的变化规律,为制定该综合征统一客观的诊断标准提供科学的临床数据,同时探讨临床相关因素在治疗中风病假性延髓麻痹中的疗效影响。
短句来源
     The results showed that:1 PBP' s gag reflex in stroke may show thansiently weaken or vanishing in acute period (49.6%) in addition to existing or exciting.
     结果表明: 1.中风病假性延髓麻痹除表现为咽反射存在或亢进外,几乎近一半的患者(49.6%)在急性期会出现咽反射减弱甚至消失。
短句来源
     By paired-samples χ~2 test, we found that the diagnosis rate of dysphagia patients were significant difference between videofluoroscopy examination, bedside water-swallowing test and gag reflex test (P<0.01).
     经配对计数资料χ2检验,电视透视检查对吞咽困难的检出率明显高于洼田饮水试验和咽反射(P<0·01)。
短句来源
  “gag reflex”译为未确定词的双语例句
     The acute observation group (PBP coming on less than two weeks) was named as A group,the convalescent observation group (PBP coming on from two weeks to three months) as B group, the sequelae observation group (PBP coming on more than three months) as C group and the Chi-square test for gag reflex' s variation regularity in different periods were taken.
     急性期观察组(发病后2周内)分为A组、恢复期观察组(发病2周~3月内)分为B组、后遗症期观察组(发病3月后)分为C组。
短句来源
  相似匹配句对
     The acoustic reflex is abnormal.
     ⑧不伴有其他器官系统的异常。
短句来源
     Reflex in bilinear transformation
     双线性变换中的映射
短句来源
     The GAG of neoplastic tissues were oversulfated.
     肺癌组织GAG表现为高硫酸化。
短句来源
     The GAG contents were significantly higher.
     蛋白聚糖含量明显增高;
短句来源
     The results showed that:1 PBP' s gag reflex in stroke may show thansiently weaken or vanishing in acute period (49.6%) in addition to existing or exciting.
     结果表明: 1.中风病假性延髓麻痹除表现为咽反射存在或亢进外,几乎近一半的患者(49.6%)在急性期会出现咽反射减弱甚至消失。
短句来源
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  gag reflex
Notable differences in practice were observed for five components: cervical auscultation, trials with compensatory techniques, gag reflex, assessment of sensory function, and screening/assessment of mental abilities.
      
We conclude that the gag reflex is as specific as but less sensitive than the BSA in detecting dysphagia in acute stroke patients.
      
The gag reflex was absent in 38.6% of dysphagic and 3.5% of nondysphagic patients.
      
Two hundred forty-two acute stroke patients had their gag reflex tested and a BSA performed.
      
The goal of this study was to compare the diagnostic value of an absent gag reflex in acute stroke patients with the bedside swallowing assessment (BSA) and assess its relationship to outcomes.
      
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Objective:To investigate the pathogeny,clinical CT and MRI characteristics of Wallenberg’s syndrom.Methods:17 cases of wallenberg’s syndrome were analysed who had received and diagnosed in our hospital from 1992 to 1998.Results:The pathogeny of Wallenberg’s syndrome mainly was caused by ischemia of the posterior inferior cerebellar artery,but sometimes was caused by hemorrhage diseases.The clinical manifestations were observed:focal lateral vocal cords paralysis of soft palate,and gag reflex disappear(94.1%),ipsilateral...

Objective:To investigate the pathogeny,clinical CT and MRI characteristics of Wallenberg’s syndrom.Methods:17 cases of wallenberg’s syndrome were analysed who had received and diagnosed in our hospital from 1992 to 1998.Results:The pathogeny of Wallenberg’s syndrome mainly was caused by ischemia of the posterior inferior cerebellar artery,but sometimes was caused by hemorrhage diseases.The clinical manifestations were observed:focal lateral vocal cords paralysis of soft palate,and gag reflex disappear(94.1%),ipsilateral sensory (pain and heat)impairment of the face and contralateral else where(88.2%),focal ipsilateral Horner syndrome(82.4%),focal ipsilateral cerebeller ataxia(70.6%),vertigo(70.6%),nauseatation,vomit(58.8%),level nystagmus(52.9%),headache(23.5%),niccough(17.6%),focal contra lateral limbs paresis(11.8%).Swenteen patients were tested with cranial CT scanning after occurrence in 72 hours,in which 1 case had medulla oblongata hemorrhage.However with MRI scanning 9 cases had abnormal signal change in medulla oblongata,5 cases had abnormal signal change in cerebellum,2 cases had abnormal signal in basal ganglion.Conclusion:Wallenberg is a group of multipathogeny syndrome.MRI was better than CT,in diagnosis of the reasons of the syndrome.

目的 :探讨Wallenberg综合征病因、临床表现及CT、MRI改变。方法 :分析 1992~ 1998年住院诊断为Wallenberg综合征 17例病人病因 ,临床表现 ,CT与MRI改变。结果 :Wallenberg综合征病因主要为小脑后下动脉缺血所致 ,但也有出血性疾病。临床主要表现为 :病灶侧软腭声带麻痹 ,咽反射消失 ( 94 1% ) ,病灶侧面部及对侧痛温觉障碍 ( 88 2 % ) ,病灶同侧Horner征( 82 4 % ) ,病灶同侧小脑性共济失调 ( 70 6% ) ,眩晕 ( 70 6% ) ,恶心、呕吐 ( 58 8% ) ,水平眼震 ( 52 9% ) ,头痛 ( 2 3 5% ) ,呃逆 ( 17 6% ) ,病灶对侧肢体轻瘫 ( 11 8% )。 17例病人发病 72h内行头部CT扫描 ,1例发现延髓有出血 ,另 16例延髓无异常改变。发病 72h内头部MRI检查 ,9例延髓有异常信号改变 ,5例小脑有异常信号改变 ,2例基底节区有异常信号改变。结论 :Wallenberg是一组多病因综合征。MRI检查优于CT ,但并不是所有Wallenberg综合征MRI检查均有...

目的 :探讨Wallenberg综合征病因、临床表现及CT、MRI改变。方法 :分析 1992~ 1998年住院诊断为Wallenberg综合征 17例病人病因 ,临床表现 ,CT与MRI改变。结果 :Wallenberg综合征病因主要为小脑后下动脉缺血所致 ,但也有出血性疾病。临床主要表现为 :病灶侧软腭声带麻痹 ,咽反射消失 ( 94 1% ) ,病灶侧面部及对侧痛温觉障碍 ( 88 2 % ) ,病灶同侧Horner征( 82 4 % ) ,病灶同侧小脑性共济失调 ( 70 6% ) ,眩晕 ( 70 6% ) ,恶心、呕吐 ( 58 8% ) ,水平眼震 ( 52 9% ) ,头痛 ( 2 3 5% ) ,呃逆 ( 17 6% ) ,病灶对侧肢体轻瘫 ( 11 8% )。 17例病人发病 72h内行头部CT扫描 ,1例发现延髓有出血 ,另 16例延髓无异常改变。发病 72h内头部MRI检查 ,9例延髓有异常信号改变 ,5例小脑有异常信号改变 ,2例基底节区有异常信号改变。结论 :Wallenberg是一组多病因综合征。MRI检查优于CT ,但并不是所有Wallenberg综合征MRI检查均有阳性发现。

Objective:To evaluate the patient's swallowing function and display dysfunctional organs and observe aspiration and silent aspiration by videofluoroscopy.Methods:47 cases of dysphagia patients following cerebral infarction and 5 cases of healthy volunteers had been selected. Bedside water-swallowing test and videofluoroscopy examination were used to evaluate the patient's swallowing function. The result were gathered and analyzed by using SPSS 8.0. The methods were χ~2 test and t test.Results:Among 47 cases...

Objective:To evaluate the patient's swallowing function and display dysfunctional organs and observe aspiration and silent aspiration by videofluoroscopy.Methods:47 cases of dysphagia patients following cerebral infarction and 5 cases of healthy volunteers had been selected. Bedside water-swallowing test and videofluoroscopy examination were used to evaluate the patient's swallowing function. The result were gathered and analyzed by using SPSS 8.0. The methods were χ~2 test and t test.Results:Among 47 cases of dysphagia following cerebral infarction, there were 18 cases of gag reflex abnormality by physical examination, 21 cases of swallowing function disorder and choking by bedside water-swallowing test, all the cases of dysphagia following cerebral infarction manifested abnormal on their swallowing function by videofluoroscopy examination, 39 cases with disorder swallowing function. There were 32 cases of aspiration and supraglottic silent aspiration 11 cases. By paired-samples χ~2 test, we found that the diagnosis rate of dysphagia patients were significant difference between videofluoroscopy examination, bedside water-swallowing test and gag reflex test (P<0.01).Conclusion:Videofluoroscopy is the best way to examine swallowing functions and very helpful for physicians to choose a better way to cure the dysphagia. For it can find aspiration and aspiration accurately, reflect the mechanism and ways of them, and it can evaluate the level of dysphagia.

目的:应用电视透视检查评价脑梗死患者的吞咽功能,显示功能障碍的器官、发现误吸及安静误吸。方法:47例脑梗死后吞咽困难患者及5例健康志愿者分别由临床及影像医师采用洼田饮水试验、电视透视检查评定吞咽功能。使用SPSS8.0统计软件对各项观察指标进行单因素分析,统计学方法包括χ2检验和t检验。结果:47例脑梗死后吞咽困难患者中咽反射异常18例;经洼田饮水试验发现吞咽功能差、有呛咳者21例;电视透视检查47例患者均有不同程度吞咽功能异常,误吸及声门上穿透32例、安静误吸11例。经配对计数资料χ2检验,电视透视检查对吞咽困难的检出率明显高于洼田饮水试验和咽反射(P<0·01)。结论:脑梗死患者应用电视透视检查吞咽功能能够可靠发现吞咽困难,直接确定误吸、安静误吸的发生及发生途径。

Objective To identify whether abnormal clinical manifestations of dysphagia in stroke patients could predict associated imaging abnormalities. Methods Clinical evaluations and videofluoroscopy were performed on 56 consecutive cases of stroke. The clinical and image manifestations of dysphagia were observed and analyzed u-sing logistic regression analysis. Results A bolus leaking from the mouth was found (P =0.037) to predict abnormal lip closure. Raising the head when swallowing (P =0.010) and dysarthria (P...

Objective To identify whether abnormal clinical manifestations of dysphagia in stroke patients could predict associated imaging abnormalities. Methods Clinical evaluations and videofluoroscopy were performed on 56 consecutive cases of stroke. The clinical and image manifestations of dysphagia were observed and analyzed u-sing logistic regression analysis. Results A bolus leaking from the mouth was found (P =0.037) to predict abnormal lip closure. Raising the head when swallowing (P =0.010) and dysarthria (P =0.025) were found to predict reduced tongue movement. Exertion in swallowing (P = 0.016) could predict poor laryngeal elevation. Abnormal la-ryngeal elevation (P =0.024) and reduced or absent gag reflex (P =0.005) were found to predict insufficient epiglottis tilt down. Coughing caused by swallowing could predict incomplete vocal fold closure (P =0.011) and aspiration (P = 0.042). Conclusion Videofluoroscopic manifestations could be predicted to some extend by some clinical swallowing abnormalities, which could increase the accuracy of clinical evaluation and help in the management of dysphagia in those who could not endure videofluoroscopy.

目的探讨脑卒中患者吞咽困难临床表现与其影像学异常表现的相关性。方法对56例住院治疗的脑卒中吞咽困难患者进行临床评估及电视透视检查(VF检查),并对上述2种方法的检查结果进行相关性分析。结果经Logistic回归分析后发现,食物或水从口角漏出(P=0.037)可预测唇闭合异常,仰头动作(P=0.010)及构音障碍(P=0.025)可预测舌运动障碍,喉上抬差(P=0.024)、咽反射减弱或消失(P=0.005)可预测会厌返折不全,用力吞咽(P=0.016)可预测喉上提异常,进食呛咳可预测声门关闭不全(P=0.011)及误吸(P=0.042);未发现有临床表现可准确预测软腭运动障碍、咽蠕动减弱、环咽肌打开不全等影像学异常改变。结论脑卒中吞咽困难患者的某些临床表现可以有效预测影像学检查下的部分器官功能异常改变,增强了临床评估的准确性及客观性,有利于指导那些不能接受VF检查的患者进行吞咽障碍治疗。

 
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