Zhongguo quanke yixue (Dec 2022)

Influencing Factors of Severity of Functional Dyspepsia after Ischemic Stroke

  • SHAO Wei, HUANG Mengmeng, HE Dandan, HUANG Fuxin, NIU Hongyue

DOI
https://doi.org/10.12114/j.issn.1007-9572.2022.0434
Journal volume & issue
Vol. 25, no. 36
pp. 4509 – 4514

Abstract

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Background Functional dyspepsia (FD) after ischemic stroke belongs to the category of post-stroke gastrointestinal dysfunction, which is prevalent in middle-aged and elderly patients. Stroke patients may differ from the general population in the influencing factors of FD due to their own somatic and psychological changes. Objective To investigate the associated factors of the severity of functional dyspepsia after ischemic stroke. Methods A total of 180 middle and old aged patients with functional dyspepsia after ischemic stroke were selected from March 2017 to July 2018 in the Department of Acupuncture of the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine. A self-designed dyspepsia symptom score scale was used to evaluate the severity of FD during hospitalization. The patients were divided into mild FD group (score≤7, n=115) and moderate-severe FD group (score>7, n=65) according to the dyspepsia symptom score. Patient data were collected through the medical record system, and multivariate Logistic regression were used to explore the influencing factors of functional dyspepsia severity after ischemic stroke. Results The FD symptom scores of 180 patients was in the range of 3-12 points, with an average of (7.2±1.7) points. Among them, 115 patients (63.9%) had symptom score≤7 points, and 65 patients (36.1%) had symptom score>7 points. The severity of functional dyspepsia patients with different ages and stroke duration (acute, convalescent, sequelae) was statistically different (P<0.05) . Multivariate Logistic regression analysis showed middle age (43-55 years) 〔OR=3.367, 95% CI (1.399, 8.104) , P=0.007〕and thalamus infarction〔OR=2.111, 95%CI (1.038, 4.290) , P=0.039〕 were the influencing factors of the severity of functional dyspepsia after ischemic stroke. Conclusion Age 43 to 55 years and thalamic infarction are risk factors for FD severity in patients with ischemic cerebral infarction, which may be used as a basis to evaluate the development of FD and provide a reference for clinicians for early intervention of FD in patients with ischemic stroke.

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