脑卒中患者生活自理能力预测研究  

Prediction of the self-care ability of inpatients with first ever stroke

作　　者：张继荣[1] 李玫[1] 冯丽丽[1] 龙燕[1] 陈廷凤[1] 李玲[1] 吴霜[1] 

机构地区：[1]贵阳医学院附属医院康复医学科,550004

出　　处：《中华物理医学与康复杂志》2000年第5期279-281,共3页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：WHO康复资源中心 (武汉 )资助

摘　　要：目的　预测初发脑卒中患者今后生活自理能力。方法　回顾性分析 197例初发脑卒中患者 ,以Barthel指数评定生活自理能力 ,按得分多少分为自理组 (BI≥ 61分 ) 12 3例 ,非自理组 (BI≤ 60分 ) 74例 ,对发病时情况 ,入院后第 1次各项检查结果以及康复治疗等参数进行单因素 (t和 χ2 检验 )和多元回归分析。结果　单因素分析中 ,合并多种疾病 ,入院时神志 ,认知障碍 ,尿失禁 ,肺部感染 ,高血糖 ,失语 ,脑部病灶大小 ,是否进行康复治疗等 ,2组间差异有显著性意义 (P <0 .0 5 ) ;多元回归分析发现 ,合并多种病史 ,如帕金森病 ,糖尿病 ,心肌缺血 ,认知障碍 ,肺部感染 ,病灶大小及所在部位 ,是否进行康治疗共 9个因素与患者生活自理能力相关 ( P =0 .0 0 1～ 0 .0 63 )。结论　根据初发脑卒中患者发病及入院时的参数可以预测今后生活自理能力 ,对患者筛选早期康复治疗及拟定早期康复计划具有指导作用。Objective To predict the self care ability of inpatients with first ever stroke.Methods 197patients with first stroke,male 111,female 86,the average age ( 62.69 ± 15.78 ) years were divided into two groups with result of the Barthel Index measurement BI,self care(BI≥61,n=123)and non self care (BI≤60,n=74).The date about the patients manifestations at the onset, the first results of laboratory after admission and rehabilitation therapies were analyzed by single factor test and multiple logistic regression.Results It was found that there significant difference in consciousness, cognitive disorder, blood sugar, urinary incontinence, area of cerebral lesion and rehabilitation therapy between the two groups (P< 0.05 ).Multiple logistic regression analysis showed that the case history such as Parkin's disease and diabetes history, myocaridal ischemia, cognitive disorder,pulmonary infection at admission,area and size of cerebral lesion and rehabilitation therapy were related with the self care ability of the patients (P= 0.001 ～ 0.063 ).Conclusion Self care ability of the patients with first ever stroke could be predicted according to patients information at the onset and admission. This research could be a guideline to select patients in early rehabilitation program.

关 键 词：脑卒中 生活自理能力 预测 康复治疗 

分 类 号：R743[医药卫生—神经病学与精神病学]