急性脑梗死病人再灌注治疗后残疾水平的纵向研究

牟春英; 辛霞; 李文文; 张蜜; 朱丹丹; 谭颖; 韩建峰

doi:10.13898/j.cnki.issn.1000-2200.2023.07.031

急性脑梗死病人再灌注治疗后残疾水平的纵向研究

A longitudinal study of disability levels after reperfusion in patients with acute cerebral infarction

摘要

摘要:
目的探讨急性脑梗死病人再灌注治疗后至6个月的肢体残疾水平动态变化、生活自理能力及相关影响因素。
方法采用目的抽样法选取神经内科急性脑梗死再灌注治疗后病人112例，收集病人一般资料，采用改良Rankin量表(mRs评分)和Barthel指数评价病人的残疾水平及日常生活能力，定义mRs评分2~5分为残疾并计算残疾水平。采用单因素方差分析法分析病人日常生活能力的影响因素。
结果接受治疗后6个月病人生活自理能力结果显示，完全自理者61例(57.0%)，其余病人存在不同程度的自理能力障碍；有无房颤、不同发病年龄、疾病治疗方式、疾病严重程度及肢体康复训练者生活自理能力总分差异均有统计学意义(P < 0.05~P < 0.01)。急性脑梗死病人再灌注治疗后1、3、6个月残疾率分别为44.86%、40.19%、35.51%；治疗后1、3、6个月mRS评分显示，病人的机体残疾等级可随着时间逐渐下降(P < 0.05)。
结论急性脑梗死病人再灌注治疗后的残疾水平可随着时间逐渐恢复，进行运动功能康复是病人的肢体功能恢复的重要影响因素。

Abstract:
ObjectiveTo explore the dynamic change of limb disability, self-care ability and related influencing factors in patients with acute cerebral infarction after reperfusion therapy for 6 months.
MethodsA total of 112 patients with acute cerebral infarction after reperfusion therapy in the department of neurology were selected using purposive sampling method.The clinical data of patients were collected.And the modified Rankin scale (mRS score) and Barthel index were used to evaluate the level of disability and the ability of daily living of the patients.Patients with mRS score 2-5 points were defined as disability, and the level of disability was correspondingly calculated.One-way analysis of variance was performed to analyze the influencing factors of patients' daily living ability.
ResultsThe results of patients' self-care ability 6 months after treatment showed that 61 patients (57.0%) were completely self-care, and the rest of the patients had varying degrees of self-care impairment.There were statistically significant differences in the total score of self-care ability among patients with or without atrial fibrillation, different onset ages, disease treatment methods, disease severity, and limb rehabilitation training (P < 0.05 to P < 0.01).The disability rates of patients with acute cerebral infarction at 1, 3, and 6 months after reperfusion treatment were 44.86%, 40.19%, and 35.51%, respectively.The mRS results of 1 month, 3 months, and 6 months after treatment showed that the level of patients' physical disability could gradually decrease over time(P < 0.05).
ConclusionsThe level of disability in patients with acute cerebral infarction after reperfusion therapy can gradually recover over time, and motor function rehabilitation is an essential factor in the limb function recovery of patients.

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