《中国康复理论与实践》

《中国康复理论与实践》 ›› 1999, Vol. 5 ›› Issue (04): 150-152.

• 论著 • 上一篇    下一篇

初发脑梗塞住院患者生活自理能力预测研究

高远; 燕铁斌; 许俭兴; 吴霜   

  1. 中山医科大学孙逸仙纪念医院康复医学科
  • 收稿日期:1999-04-12 出版日期:1999-12-25 发布日期:1999-12-25

Self-care prediction at discharge of inpatients with first-ever cerebral infarction

Gao Yuan,Yan Tiebin,Xu Jianxing,et al   

  1. Chinese Journal of Rehabilitation Theroy & Practice.-1999,5(4):150～152
  • Received:1999-04-12 Published:1999-12-25 Online:1999-12-25

PDF (PC)

摘要： 目的：预测初发脑梗塞住院患者出院时的生活自理能力。方法：初发脑梗塞患者360例，14例住院期间死亡，346例生存者中男187例，女159例，平均年龄63．9±11．4岁，平均住院时间36．53±27．03天。以出院时的结局分为自理组（230例）和非自理组（116例），根据发病时情况，入院后第一次检查资料等参数，分别采取单因素t检验及X2检验和多元回归分析。结果：t检验和X2检验显示两组患者的年龄有显著性差异（P＜0．01），其它因素的差异无显著性；多元回归分析发现左半球、大面积、多部位梗塞，合并肢体瘫痪、感觉性失语、心律失常的患者，出院时生活自理能力较差（P＝0．0001－0．1020）。结论：根据发病时情况，入院后第一次检查资料等参数可以预测脑梗塞患者出院时的生活自理能力，研究结果对充分利用现有资料，制定适宜的治疗计划具有指导价值。

关键词: 脑梗塞, 生活自理能力, 多元回归分析, 预后预测

Abstract: Aim:To predict ability of self-care at discharge of inpatients with first-ever cerebral infarction. Method: 346 stroke patients with first-ever cerebral infarction admitted to our hospital were analyzed,male 187,female 159,the average age was 63. 90± 11. 40 years and the average length of stay 36. 53±27.03days. Patients were divided into two groups, self-care and non self-care according to discharged outcome.Nineteen factors were selected from casenote and reports of laboratory and special exam such as EKG,CT or/and MRI. All material were analyzed (t test and X2 test,multiple regression). Result:The age in single factor analysis (P<0. 01)and six factors in regression analysis were significant differences in predicting discharged outcome between two groups. Conclusion:Main factors to predict the ability of self-care at discharge of inpatients were infarction of 1eft brain, large area, multiple focus, and accepted aphasia, arrhythmia as well as hemipareses, This research could be used for clinician to set a discharge plan and a guideline to select patients in early rehabilitation programs.

Key words: stroke, self-care, prognosis, early rehabilitation