缺血性脑卒中病人日常生活活动能力的影响因素分析

刘婷; 蔡奔; 陈南星; 贾贤杰; 于影; 高怀荃

doi:10.13898/j.cnki.issn.1000-2200.2021.05.028

缺血性脑卒中病人日常生活活动能力的影响因素分析

Analysis of the influencing factors of activity of daily living in patients with ischemic stroke

摘要

摘要:
目的探讨缺血性脑卒中病人日常生活活动能力（ADL）的影响因素。
方法纳入缺血性脑卒中病人511例，采用调查表收集病人的人口统计学、生活习惯、既往史以及临床患病资料，按照Barthel指数评定量表（Barthel index，BI）评分分为ADL较好组406例（BI≥60分）和ADL较差组105例（BI < 60分），分析缺血性脑卒中病人ADL的影响因素。
结果ADL较差组和ADL较好组病人的牛津郡社区卒中研究分型、平衡能力、认知功能和美国国立研究院卒中量表（NIHSS）评分差异均有统计学意义（P < 0.05）。Logistic回归分析结果显示，平衡能力和入院NIHSS评分均为缺血性脑卒中病人ADL的独立影响因素（P < 0.05）。
结论平衡能力和入院时NIHSS评分是影响缺血性脑卒中病人ADL的独立影响因素。

Abstract:
ObjectiveTo explore the influencing factors of activity of daily living(ADL) in patients with ischemic stroke.
MethodsThe demography, living habits, past medical history and clinical disease data in 511 patients with ischemic stroke were investigated using questionnaire.According to the Barthel index(BI) score, 406 patients with good ADL(BI ≥ 60 points) and 105 patients with poor ADL(BI < 60 points) were divided into two groups.The influencing factors of ADL in patients with ischemic stroke were analyzed.
ResultsThe differences of the Oxford-shire community stroke typing, balance ability, cognitive function and National Institute of Health stroke scale(NIHSS) score between two groups were statistically significant(P < 0.05).The results of logistic regression analysis showed that the balance ability and admission NIHSS score were the independent risk factors affecting ADL in patients with ischemic stroke(P < 0.05).
ConclusionsThe balance ability and admission NIHSS score are the independent factors affecting ADL in patients with ischemic stroke.

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