年龄因素对脑梗死患者急性期神经功能和日常生活活动能力恢复的影响  

The impact of age on neurological function and ability of activities of daily living in the acute phase of cerebral infarction

作　　者：夏楠[1] 王红星[1] 任彩丽[1,2] 彭志行[3] 林丽娟[3] 励建安[1] 

机构地区：[1]南京医科大学第一附属医院康复医学科,南京210029 [2]无锡市同仁(国际)康复医院神经康复科 [3]南京医科大学公共卫生学院流行病与卫生统计学系

出　　处：《中国康复医学杂志》2015年第8期782-785,共4页Chinese Journal of Rehabilitation Medicine

基　　金：江苏省临床医学科技专项项目(BL2012029)

摘　　要：目的:比较不同年龄组脑梗死患者急性期神经功能及日常生活活动能力恢复的差异。方法:2012—2014年住院介入康复治疗的脑卒中急性期患者126例,根据年龄分为4组:A组(≤54岁)、B组(55—64岁)、C组(65—74岁)、D组(75岁及以上),于康复治疗前和出院时,分别采用美国国立卫生院脑卒中量表(NIHSS)、Barthel指数(BI)对各年龄组患者的神经功能缺损水平、日常活动能力进行评定和分析。结果:D组患者康复治疗前后BI差值显著低于B组(P<0.05),相关分析显示BI差值跟年龄呈线性负相关(P<0.05,相关系数r=-0.212);D组出院时NIHSS评分(NIHSS1)显著低于B、C组(P<0.05),BI日均改善率(|BI1-BI0|/介入时程)显著低于A、B组(P<0.05)。结论:年龄是影响脑梗死患者神经功能和日常生活能力恢复的重要因素,75岁以上高龄患者其功能恢复程度和速度均降低,而低于75岁者脑梗死急性期其神经功能和日常活动能力恢复无显著差异。Objective： To compare the neurological function and ability of activities daily living（ADL） of patients with acute cerebral infarction in different age groups.Method： One hundred and twenty-six inpatients with acute cerebral infarction and rehabilitation treatment from 2012 to 2014 were involved and divided into 4 groups according to age： Group A（≤54 years）, Group B（55—64 years）, Group C（65—74 years）, Group D（≥75 years）. Neurological function and ability of ADL were evaluated by National Institutes of Health Stroke Scale（NIHSS） and Barthel index（BI） respectively before and after rehabilitation intervention.Result： The difference of BI before and after rehabilitation in Group D was significantly lower than that inGroup B（P〈0.05）, correlation analysis showed the negative linear correlation between BI difference and age（P〈0.05, r=-0.212）. Discharge NIHSS score（NIHSS1） was lower in Group D than that in Groups B and C（P〈0.05）. Daily improvement ratio of BI in Groups A and B were obviously higher than that in Group D（P≤0.01）.Conclusion： Age is an important factor for the recovery of neurological function and ability of ADL in patients with acute cerebral infarction. The functional recovery of patients aged over 75 years were significantly lower than others both in improvement level and recovery speed. However, no significant difference was observed in those younger（≤75 years） cerebral infarction patients.

关 键 词：年龄因素 脑梗死 急性期康复 神经功能 日常活动能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]