脑卒中患者发病早期日常生活活动评定及其影响因素  

ASSESSMENT OF ACTIVITIES OF DAILY LIVING AND RELATED FACTORS IN THE EARLY STAGE AFTER AN ACUTE STROKE

作　　者：付桂敏[1] 张宝慧[1] 姜军[1] 段京平[1] 

机构地区：[1]北京医科大学第三医院康复医学中心

出　　处：《北京医科大学学报》1998年第3期282-283,共2页Journal of Peking University(Health Sciences)

摘　　要：目的：研究脑卒中患者发病１个月以内的日常生活活动（ａｃｔｉｖｉｔｉｅｓｏｆｄａｉｌｙｌｉｖｉｎｇ，ＡＤＬ）水平及影响ＡＤＬ水平的因素。方法：对１３０例脑卒中患者进行ＡＤＬ水平及功能评定。结果：９７．６９％的患者ＡＤＬ受到不同程度的影响。患者的ＡＤＬ水平与患侧上、下肢及手功能水平呈正相关。出血性脑卒中患者发病早期ＡＤＬ水平明显低于缺血性脑卒中患者。受过高等教育的患者其ＡＤＬ水平明显高于其他患者。结论：脑卒中患者发病早期ＡＤＬ水平与诸多因素有关，在制定康复计划时，应结合患者的具体情况，扬长避短。物理治疗与作业治疗结合，以便达到最佳功能恢复。Objective: To investigate the level of independence in activities of daily living (ADL) and related factors within one month after an acute stroke. Methods: ADL and limbs function of 130 stroke patients were assessed. Results: The different impairment of ADL was found in 97.69% of the patients. The level of independence in ADL was positive correlated with the affected upper limbs, lower limbs and hand function. The level of independence in ADL was distinctly lower in patients with hemorrhagic cerebral apoplexy(HCA) than that in patients with ischemic cerebral apoplexy(ICA) in the early stage after the onset. The level of independence in ADL was distinctly higher in patients with higher education than that in others. Conclusion: We should combine physical therapy with occupational therapy and consider the specific conditions of stroke patients during their rehabilitation in order to get the best functional recovery.

关 键 词：中风 脑出血 脑栓塞 日常生活活动 病理生理学 

分 类 号：R743.3[医药卫生—神经病学与精神病学]