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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 future self-care ability of patients with newly diagnosed stroke. Methods A total of 197 patients with newly diagnosed stroke were retrospectively analyzed. Barthel index was used to assess the self-care ability. According to the scores, there were 123 cases in the self-care group (BI≥61 points) and 74 cases in the non-self-care group (BI≤60 points) The incidence of illness, the first admission after the results of various tests and rehabilitation parameters such as single-factor (t and χ2 test) and multiple regression analysis. Results In the univariate analysis, there were significant differences between the two groups in the combination of multiple diseases, admission consciousness, cognitive impairment, urinary incontinence, pulmonary infection, hyperglycemia, aphasia, brain lesion size, and whether or not to perform rehabilitation therapy (P0.05) .Multivariate regression analysis showed that the combination of multiple medical history, such as Parkinson’s disease, diabetes mellitus, myocardial ischemia, cognitive impairment, lung infection, the size of the lesion, The factors correlated with the self-care ability of patients (P = 0.010-0.063). Conclusion According to the onset and the parameters of admission, the self-care ability of the patients with stroke in the first episode can predict the self-care ability in the future and play an instructive role in the screening of early rehabilitation and early rehabilitation plan.