【摘要】" 目的" 探讨老年脑卒中吞咽障碍患者发生衰弱的现状及危险因素。方法" 选取2023年7-12月华北理工大学附属医院收治的388例老年脑卒中吞咽障碍患者，根据Tilburg衰弱评估量表将患者分为衰弱组和非衰弱组，收集患者基线资料，采用单因素分析筛选及多因素Logistic回归分析老年脑卒中吞咽障碍患者衰弱的危险因素。结果" 388例老年脑卒中吞咽障碍患者衰弱的发生率为63.40%(246/388)。单因素分析结果显示，两组患者在年龄、吸烟、体育锻炼、脑卒中类型、病变部位、合并慢性病、服药情况、洼田饮水试验、是否害怕吞咽、牙齿数量、营养状况和口腔健康状况差异有统计学意义(Plt;0.05)。多因素Logistic回归分析结果显示，不经常体育锻炼、出血型脑卒中、害怕吞咽、牙齿数量<20颗、营养不良和口腔健康不良是老年脑卒中吞咽障碍患者发生衰弱的独立危险因素(Plt;0.05)。结论" 老年脑卒中吞咽障碍患者衰弱发生的风险较高，可早期对危险因素进行干预来减缓患者衰弱的进程。

    【关键词】" 老年人；脑卒中；吞咽障碍；衰弱；危险因素

    中图分类号" R743.3" "文献标识码" A" " 文章编号" 1671-0223(2025)04--06

    Current status and risk factors analysis of frailty in elderly stroke patients with swallowing disorders" Liu Mengfan， Liu Mingbo， Feng Haoyun， Cheng Jie， Wang Yunlong. School of Nursing and Rehabilitation， North China University of Science and Technology， Tangshan 063210， China

    【Abstract】" Objective" To explore the current situation and risk factors of frailty in elderly stroke patients with swallowing disorders. Methods" A total of 388 elderly stroke patients with swallowing disorders admitted to the Affiliated Hospital of North China University of Science and Technology from July to December 2023 were selected. According to the Tilburg frailty indicator ......