CAJ | 학술논문

目的探讨影响脑卒中患者6个月时综合功能预后的早期变异因素.方法共选取上海地区211例脑卒中患者,将其随机分为康复组与对照组.康复组患者给予规范的三级康复干预,对照组患者仅给予一般常规内科治疗,未进行系统康复干预.入选时收集每例患者病史、体格检查结果、临床神经功能缺损评分(CNFD)、简化Fugl-Meyer运动评分(S-FMA)和改良Barthel指数评分(MBI)等共计27项早期变异指标.于发病后6个月末时采用功能综合评定量表(FCA)对患者进行评定,并将其结果作为患者综合功能结局.采用逐步回归分析方法对所得数据进行比较.结果经逐步回归分析后发现,可预测脑卒中患者发病后6个月时综合功能结局的早期变异因素包括治疗方案、CNFD评分、年龄、糖尿病、S-FMA评分、吸烟和劳动程度.结论有多种早期变异因素能对脑卒中患者远期综合功能结局造成影响,其中以治疗方案、CNFD评分和年龄因素的影响尤为显著.-Meyer运动评分(S-FMA)和改良Barthel指数评分(MBI)等共计27项早期变异指标.于发病后6个月末时采用功能综合评定量表(FCA)对患者进行评定,并将其结果作为患者综合功能结局.采用逐步回归分析方对所得数据进行比较.结果经逐步回归分析后发现,可预测脑卒中患者发病后6个月时综合功能结局的早期变异因素包括治疗方案、CNFD评分、年龄、糖尿病、S-FMA评分、吸烟和劳动程度.结论有多种早期变异因素能对脑卒中患者远期综合功能结局造成影响,其中以治疗方案、CNFD评分和年龄因素的影响尤为显著.-Meyer运动评分(S-FMA)和改良Barthel指数评分(MBI)等共计27项早期变异指标.于发病后6个月末时采用功能综合评定量表(
목적 탐토영향뇌졸중환자6개월시종합공능예후적조기변이인소.방법 공선취상해지구211례뇌졸중환자,장기수궤분위강복조여대조조.강복조환자급여규범적삼급강복간예,대조조환자부급여일반상규내과치료,미진행계통강복간예.입선시수집매례환자병사、체격검사결과、림상신경공능결손평분(CNFD)、간화Fugl-Meyer운동평분(S-FMA)화개량Barthel지수평분(MBI)등공계27항조기변이지표.우발병후6개월말시채용공능종합평정량표(FCA)대환자진행평정,병장기결과작위환자종합공능결국.채용축보회귀분석방법대소득수거진행비교.결과 경축보회귀분석후발현,가예측뇌졸중환자발병후6개월시종합공능결국적조기변이인소포괄치료방안、CNFD평분、년령、당뇨병、S-FMA평분、흡연화노동정도.결론 유다충조기변이인소능대뇌졸중환자원기종합공능결국조성영향,기중이치료방안、CNFD평분화년령인소적영향우위현저.-Meyer운동평분(S-FMA)화개량Barthel지수평분(MBI)등공계27항조기변이지표.우발병후6개월말시채용공능종합평정량표(FCA)대환자진행평정,병장기결과작위환자종합공능결국.채용축보회귀분석방대소득수거진행비교.결과 경축보회귀분석후발현,가예측뇌졸중환자발병후6개월시종합공능결국적조기변이인소포괄치료방안、CNFD평분、년령、당뇨병、S-FMA평분、흡연화노동정도.결론 유다충조기변이인소능대뇌졸중환자원기종합공능결국조성영향,기중이치료방안、CNFD평분화년령인소적영향우위현저.-Meyer운동평분(S-FMA)화개량Barthel지수평분(MBI)등공계27항조기변이지표.우발병후6개월말시채용공능종합평정량표(
objective To investigate the multiple early variables that influenced the 6th months prognosis of comprehensive function in patients with stroke.Methods Two hundreds and eleven patients of primary cerebral infarction and primary cerebral hemorrhage in Shanghai were divided into treated group and controlled group randomly.Patients in the treated group were given standardized tertiary rehabilitation,while those in the controlled group received normal internal medicine treatments but without standardized tertiary rehabilitation.Twenty seven early variables were collected with regard to the patients'medical history,physical examination,scores with CNFD,S-FMA and MBI at the time of enrollment.The patients'FCA scores at the ends of the 6th months after stroke were used as the comprehensive functional outcome.Stepwise multiple regression analysis applied to analyze the data.Results Stepwise multiple regression analysis revealed that therapeutic regimen,CNFD scores,age,diabetes mellitus,SFMA scores,smoking and labour intensity predicted comprehensive functional outcome at the ends of the 6th months after stroke.Conclusion Certain early variables predict the long-term comprehensive functional prognosis of stroke patients.Therapeutic regimen,CNFD scores and age were significant predictors.