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)