基线NIHSS评分血管评估与脑梗死早期康复量表的相关性分析  

Correlation analysis between baseline NIHSS score,blood vessel evaluation and the early rehabilitation scales of cerebral infarction

作　　者：刘秀贞[1] 胡洁[1] 马宝兰 

机构地区：[1]首都医科大学宣武医院康复医学科,北京100053 [2]北京瑞安康复医院,北京100055

出　　处：《中国实用神经疾病杂志》2016年第8期5-7,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨脑梗死患者基线NIHSS评分、有无大血管闭塞等神经科常用评价指标与早期康复Fugl-Meyer(FMA)、BI评分的相关性,判断其对脑梗死患者早期康复预后的预测价值。方法选取50例脑梗死引起的偏瘫康复住院患者,回顾性分析其基线NIHSS评分、有无大血管闭塞,并于康复治疗1个月后FMA、BI评分进行相关性分析等。结果 (1)基线NIHSS评分和康复1个月后FMA评分、BI评分呈显著负相关(P<0.05)。(2)无大血管闭塞组与有血管闭塞组入院NIHSS评分有显著性差异(P<0.05),但1个月后康复量表2组均无显著性差异(P>0.05)。(3)NIHSS≤8分组1个月后FMA、BI评分均显著高于NIHSS>8分组(P<0.05)。(4)康复预后良好的患者基线NIHSS评分较低、大血管闭塞比例较低,差异均有统计学意义(P<0.05)。结论 NIHSS评分与早期康复预后密切相关,对患者功能恢复有预测意义;血管评估和基线NIHSS较密切但对早期康复功能预后预测意义可能不大。Objective To explore the correlation between baseline NIHSS score, blood vessel evaluation （whether large blood vessel is occlusion or not） and the early rehabilitation scales of Fugl Meyer（FMA） and BI in cerebral infarction patients, so as to judge the predictive value of the above-mentioned scales on the prognosis of disease. Methods Fifty cases with hcmiplegia caused by cerebral infarction having received rehabilitation therapy in our hospital were chose. We retrospectively collected the clinical data referring to NIHSS scores and whether large blood vessel was occlusion or not, which did correlation analysis with FMA and BI scores after one-month rehabilitation. Results Baseline NIHSS scores showed notably negative correlation with FMA and BI scores. In terms of NIHSS scores, cases with large blood vessel occlusion displayed significant difference compared with those without occlusion （P〈0.05）, but no significant differences were found as for the rehabilitation scales of FMA or BI （P〉0.05）. After one month, patients with NIHSS scores ≤8 points got significantly higher FMA and BI scores than those with NIHSS scores 〉8 points （P〈0.05）. The lower baseline NIHSS scores and the lower proportion of occlusive large blood vessels indicated good prognosis. Conclusion NIHSS scores can have a close relation with early rehabiiitation, and blood vessel ewduation probably exert a non-significant influence on the disease prognosis.

关 键 词：脑梗死 基线NIHSS评分 血管评估 早期康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]