脑梗死患者日常生活活动能力影响因素的分析  

Factors influencing ADL of patients with cerebral infarction

作　　者：穆景颂[1] 倪朝民[1] 陈进[1] 刘孟[1] 范文祥[1] 张金龙[1] 

机构地区：[1]安徽省立医院康复医学科,合肥230001

出　　处：《中国康复》2014年第1期12-14,共3页Chinese Journal of Rehabilitation

基　　金：国家"十二五"科技支撑课题(2011BAI08B11)

摘　　要：目的:探讨影响脑梗死患者日常生活活动能力(ADL)的因素。方法:收集64例脑梗死患者,选择可能影响其入院时ADL的因素,以Barthel指数为标准,采用独立样本资料的t检验、Pearson相关、Spearman相关进行回顾性分析。结果:年龄、瘫痪侧别、纤维蛋白原、吞咽功能分级、RLA认知功能分级、感觉障碍、二便障碍与患者入院时Barthel指数密切相关(P<0.01,0.05)。结论:在临床工作中应积极改善脑梗死患者吞咽功能、认知功能、肢体感觉功能、二便控制能力,并控制血纤维蛋白原水平,注意年龄和瘫痪侧别对ADL的影响,以更好地改善患者日常生活自理能力。Objective： To explore the correlative factors influencing activities of daily living （ADL） of patients with cerebral infarction. Methods：All 64 cases of cerebral infarction were chosen and the factors probably affecting ADL at the admission were selected. By using Barthel index as the standard, statistical analysis was performed. Results： Age,paralysis side, fibrinogen, swallowing function scale, RLA cognitive function scale, sensory disturbances, feces and urine dysfunction were closely related to Barthel index at the admission （P^0. 01,0. 05）. Conclusion： In clinical practice,we should actively improve swallowing function, cognitive function, sensory function and excretion control capability,and control fibrinogen levels. The attention should be paid to the effects of age and paralyzed side on ADL.

关 键 词：脑梗死 日常生活活动能力 康复 影响因素 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]