早期康复介入与脑卒中合并代谢综合征患者并发症的关系(1)
摘 要:目的 探讨脑卒中合并代谢综合征(MS)患者早期康复介入与并发症的关系。方法 选取我院2014年5月~2017年5月急性脑卒中患者310例,根据是否合并MS分为MS组(152例)和非MS组(158例),并分别评定治疗第1、14及28天的Fugl-Meyer以及BI分数。分析早期康复介入与临床运动功能评分、日常生活活动能力、并发症的关系。结果 非MS组Fugl-Meyer以及BI分数在第14天和第28天高于MS组,差异统计学意义显著(P<0.01)。Fugl-Meyer评分与同时期ADL的BI评分有相关性(P<0.01)。MS组呼吸道感染、泌尿系感染并发症高于非MS组,差异有统计学意义(P<0.05)。结论 早期康复介入后,非MS脑卒中患者呼吸道感染、泌尿系感染并发症少于合并MS患者。
關键词:脑卒中;康复;并发症
中图分类号:R743.3 文献标识码:A DOI:10.3969/j.issn.1006-1959.2018.08.030
, http://www.100md.com
文章编号:1006-1959(2018)08-0096-03
Relationship between Early Rehabilitation Intervention and Complications in Stroke Patients with Metabolic Syndrome
WANG Xiao-qiang,ZHANG Yan-jun,JIA Jin,JI Yu-hong
(Department of Neurology,Huanghe Hospital of Tianjin,Tianjin 300110,China)
Abstract:Objective To investigate the relationship between early rehabilitation intervention and complications in stroke patients with metabolic syndrome(MS).Methods A total of 310 patients with acute stroke between May 2014 and May 2017 in our hospital were selected and divided into MS group(152 cases)and non-MS group(158 cases)according to whether or not MS was merged.Fugl-Meyer and BI scores were assessed on day 1,14 and 28,respectively.The relationship between early rehabilitation intervention and clinical motor function scores,activities of daily living,and complications was analyzed.Results The Fugl-Meyer and BI scores of the non-MS group were higher on the 14th and 28th days than the MS group,with significant statistical difference(P<0.01).The Fugl-Meyer score was correlated with the ADL BI score in the same period(P<0.01).The complications of respiratory tract infection and urinary tract infection in MS group were higher than those in non-MS group,the difference was statistically significant(P<0.05). Conclusion After early rehabilitation intervention,patients with non-MS stroke had fewer complications of respiratory tract infections and urinary tract infections than patients with MS.
, 百拇医药
Key words:Stroke;Rehabilitation;Complications
脑血管病已成为人类死亡的三大疾病之一,有较高的致残率和死亡率,存活患者中约70%~80%有不同程度的功能障碍,产生不同的并发症[1]。预防脑卒中与治疗同等重要。相关研究认为[2],对脑卒中患者进行早期康复治疗,能够提高生活质量,降低致残率。国内外研究显示[3],早期康复对某些缺血性卒中的并发症预防有益处。但早期康复与脑卒中合并代谢综合征(MS)患者并发症关系的报道不多见,本研究旨在探讨脑卒中合并MS患者早期康复介入与并发症的关系,为脑卒中的预防及预后提供参考。
1资料与方法
1.1一般资料 收集天津市黄河医院2014年5月~2017年5月收治的急性脑卒中患者310例,根据是否合并MS分为MS组152例和非MS组158例。MS组中,男79例,女73例,年龄60~76岁,平均年龄(67.91±7.82)岁;脑出血31例,脑梗死121例。非MS组中,男83例,女75例,年龄58~74岁,平均年龄(65.42±7.11)岁;脑出血34例,脑梗死124例。两组间年龄、性别、病变性质等方面差异无统计学意义(P>0.05),有可比性。, http://www.100md.com(王晓强 张艳军 贾琎 籍玉红)
關键词:脑卒中;康复;并发症
中图分类号:R743.3 文献标识码:A DOI:10.3969/j.issn.1006-1959.2018.08.030
, http://www.100md.com
文章编号:1006-1959(2018)08-0096-03
Relationship between Early Rehabilitation Intervention and Complications in Stroke Patients with Metabolic Syndrome
WANG Xiao-qiang,ZHANG Yan-jun,JIA Jin,JI Yu-hong
(Department of Neurology,Huanghe Hospital of Tianjin,Tianjin 300110,China)
Abstract:Objective To investigate the relationship between early rehabilitation intervention and complications in stroke patients with metabolic syndrome(MS).Methods A total of 310 patients with acute stroke between May 2014 and May 2017 in our hospital were selected and divided into MS group(152 cases)and non-MS group(158 cases)according to whether or not MS was merged.Fugl-Meyer and BI scores were assessed on day 1,14 and 28,respectively.The relationship between early rehabilitation intervention and clinical motor function scores,activities of daily living,and complications was analyzed.Results The Fugl-Meyer and BI scores of the non-MS group were higher on the 14th and 28th days than the MS group,with significant statistical difference(P<0.01).The Fugl-Meyer score was correlated with the ADL BI score in the same period(P<0.01).The complications of respiratory tract infection and urinary tract infection in MS group were higher than those in non-MS group,the difference was statistically significant(P<0.05). Conclusion After early rehabilitation intervention,patients with non-MS stroke had fewer complications of respiratory tract infections and urinary tract infections than patients with MS.
, 百拇医药
Key words:Stroke;Rehabilitation;Complications
脑血管病已成为人类死亡的三大疾病之一,有较高的致残率和死亡率,存活患者中约70%~80%有不同程度的功能障碍,产生不同的并发症[1]。预防脑卒中与治疗同等重要。相关研究认为[2],对脑卒中患者进行早期康复治疗,能够提高生活质量,降低致残率。国内外研究显示[3],早期康复对某些缺血性卒中的并发症预防有益处。但早期康复与脑卒中合并代谢综合征(MS)患者并发症关系的报道不多见,本研究旨在探讨脑卒中合并MS患者早期康复介入与并发症的关系,为脑卒中的预防及预后提供参考。
1资料与方法
1.1一般资料 收集天津市黄河医院2014年5月~2017年5月收治的急性脑卒中患者310例,根据是否合并MS分为MS组152例和非MS组158例。MS组中,男79例,女73例,年龄60~76岁,平均年龄(67.91±7.82)岁;脑出血31例,脑梗死121例。非MS组中,男83例,女75例,年龄58~74岁,平均年龄(65.42±7.11)岁;脑出血34例,脑梗死124例。两组间年龄、性别、病变性质等方面差异无统计学意义(P>0.05),有可比性。, http://www.100md.com(王晓强 张艳军 贾琎 籍玉红)