CAJ | 학술논문

目的探讨急性期脑梗死患者瘫痪上肢主动运动功能对预后的影响。方法共选取2007年8月至2008年4月间入住郑州大学第一附属医院神经内科的脑梗死患者171例，于发病后第14天时对患者瘫痪上肢主动运动功能进行评定，于发病1年后采用盲法对患者进行随访，采用Barthel指数(BI)评估其日常生活活动(ADL)能力，使用多元Logistic回归方程进行预后影响因素相关性分析。结果共获得150例患者有效数据，经统计分析发现，脑卒中发病14 d时瘫痪上肢远端运动总分与1年后BI评分具有正相关性(P=0.034)；另外发病到入院时间、入院时美国国立卫生研究院卒中量表(NIHSS)评分、脑卒中史等也与发病1年后BI评分具有明显相关性。结论于发病后14 d时对脑梗死患者瘫痪上肢远端运动功能进行评定，有助于准确评估患者预后。
목적 탐토급성기뇌경사환자탄탄상지주동운동공능대예후적영향。방법 공선취2007년8월지2008년4월간입주정주대학제일부속의원신경내과적뇌경사환자171례，우발병후제14천시대환자탄탄상지주동운동공능진행평정，우발병1년후채용맹법대환자진행수방，채용Barthel지수(BI)평고기일상생활활동(ADL)능력，사용다원Logistic회귀방정진행예후영향인소상관성분석。결과 공획득150례환자유효수거，경통계분석발현，뇌졸중발병14 d시탄탄상지원단운동총분여1년후BI평분구유정상관성(P=0.034)；령외발병도입원시간、입원시미국국립위생연구원졸중량표(NIHSS)평분、뇌졸중사등야여발병1년후BI평분구유명현상관성。결론 우발병후14 d시대뇌경사환자탄탄상지원단운동공능진행평정，유조우준학평고환자예후。
Objective To assess the influence of active movement of the affected upper limb on the prognosis for patients after acute cerebral infarction.Methods From 2007 to 2008, 171 consecutive patients with acute cerebral infarction were registered prospectively in this study. Active movement of the hemiplegic upper limb was assessed on the 14th day after stroke onset. Ability in the activities of daily living was assessed using the Barthel index one year later.Results Finger flexion and extension on the 14th day after stroke onset correlated positively with Barthel index scores 1 year later. NIHSS scores at admission, the time interval from onset to admission and stroke history were significant predictors of the prognosis 1 year later.Conclusion Assessing the active movement of the hemiplegic upper limb on the 14th day after stroke has good predictive power for the prognosis of acute cerebral infarction patients.