Correlation studies of barium on pulmonary infection under the assessment of VFSS
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Affiliations: Department of Rehabilitation Medicine, Xuzhou Central Hospital, Xuzhou, Jiangsu 221009, P.R. China
- Published online on: December 16, 2015 https://doi.org/10.3892/etm.2015.2941
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Pages:
435-438
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Copyright: © Sun
et al. This is an open access article distributed under the
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Abstract
Stroke is a common clinical disease resulting in somatic dyskinesia as well as different degrees of dysphagia. The aim of the study was to assess the results obtained from the utilization of 60% barium sulfate suspension and iohexol as contrast agents in video fluoroscopic swallowing studies (VFSS), and compare the association between the clinical application of the two contrast agents and the incidence of pneumonia. A total of 60 cases of in‑patients with dysphagia caused by stroke were selected and divided into two groups based on the diagnostic standard. No obvious differences were evident between the groups with regard to gender, age, position of stroke and the nature of stroke. The patients were divided into an iohexol group of 30 patients administered with 350 mgI/ml iohexol as a contrast agent, and a barium sulfate group of 30 patients administered with 60% barium sulfate suspension as a contrast agent. A VFSS evaluation was implemented before and after 3 weeks of treatment, respectively, and the pharynx transit time was compared between the two groups of contrast agents according to the position of stroke. By using case‑control studies, the incidence of pneumonia between the two groups of patients within 2 weeks after hospitalization was analyzed and the association between the complication probability with different contrast agents was analyzed. After 2 weeks in hospital, the incidence of aspiration pneumonia of the two groups was statistically significant (P<0.05). The incidence of pneumonia of the iohexol group was markedly lower than that of the barium sulfate group, which may be important for barium aspiration. In conclusion, in the VFSS of dysphagia after stroke and barium sulfate increased the incidence of pneumonia, and that iohexol was widely used in video fluoroscopy.
View References
1
|
Daniels SK, Ballo LA, Mahoney MC and
Foundas AL: Clinical predictors of dysphagia and aspiration risk,
outcome measures in acute stroke patients. Arch Phys Med Rehabil.
81:1030–1033. 2000. View Article : Google Scholar : PubMed/NCBI
|
2
|
Palmer JB, Drennan JC and Baba M:
Evaluation and treatment of swallowing impairments. Am Fam
Physician. 61:2453–2462. 2000.PubMed/NCBI
|
3
|
Peng J: Imaging features of advanceaged
dysphagia patients and risk factors for swallowing. Chin J Geriatr
Heart Brain Vessel Dis. 17:53–54. 2015.
|
4
|
Luan C: Study on utilization of barium
sulphate suspension and iohexol as contrast agents for video
fluoroscopic swallowing. J Qiqihar Uni Med. 33:1302–1303. 2012.
|
5
|
Katayama H, Yamaguchi K, Kozuka T, et al:
Adverse reactions to ionic and nonionic contrast media. a report
from the Japanese Committee on the Safety of Contrast Media.
Radiology. 175:621–628. 1990. View Article : Google Scholar : PubMed/NCBI
|
6
|
The Chinese Society for Neuroscience,
Neurosurgical Society of China: Diagnosis essentials of different
kinds of cerebrovascular diseases. Chin J Neurol. 29:379–380.
1996.
|
7
|
Wu S, Yan T and Huang L: The validity and
reliability of the abbreviated mental test scale. Chin J Phys Med
Rehabil. 25:140–142. 2003.
|
8
|
Dou Z: Assessment and treatment of
dysphagia. Beijing: People's Medical Publishing House. 43–63.
2009.
|
9
|
Rosenbek JC, Robbins JA, Roecker EB, Coyle
JL and Wood JL: A penetration-aspiration scale. Dysphagia.
11:93–98. 1996. View Article : Google Scholar : PubMed/NCBI
|
10
|
Marik PE: Aspiration pneumonitis and
aspiration pneumonia. N Engl J Med. 344:665–671. 2001. View Article : Google Scholar : PubMed/NCBI
|
11
|
Sun W and Wang X: Standardized swallowing
assessment of acute stroke patients: An analysis of 115 cases. Chin
J Rehabil Theory Practice. 12:282–283. 2006.
|
12
|
Hamdy S, Rothwell JC, Aziz Q and Thompson
DG: Organization and reorganization of human swallowing motor
cortex, Implications for recovery after stroke. Clin Sci (Lond).
99:151–157. 2000. View Article : Google Scholar : PubMed/NCBI
|
13
|
Singh S and Hamdy S: Dysphagia in stroke
patients. Postgrad Med J. 82:383–391. 2006. View Article : Google Scholar : PubMed/NCBI
|
14
|
Michou E, Mistry S, Jefferson S, Singh S,
Rothwell J and Hamdy S: Targeting unlesioned pharyngeal motor
cortex improves swallowing in healthy individuals and after
dysphagic stroke. Gastroenterology. 142:29–38. 2012. View Article : Google Scholar : PubMed/NCBI
|
15
|
Perry L and Love CP: Screening for
dysphagia and aspiration in acute stroke: a systematic review.
Dysphagia. 16:7–18. 2001. View Article : Google Scholar : PubMed/NCBI
|
16
|
Chamorro A, Urra X and Planas AM:
Infection after acute ischemic stroke, a manifestation of
brain-induced immunodepression. Stroke. 38:1097–1103. 2007.
View Article : Google Scholar : PubMed/NCBI
|
17
|
Pracy JP, Montgomery PQ and Reading N:
Acute pneumonitis caused by low density barium sulphate aspiration.
J Laryngol Otol. 107:347–348. 1993. View Article : Google Scholar : PubMed/NCBI
|