摘要
目的探讨可影响脑卒中后偏瘫患者步行能力的相关因素，明确改善脑卒中患者步行能力的主要干预方式，以指导脑卒中患者采取正确治疗措施及良好的生活方式。方法选择初次脑卒中偏瘫患者482例，记录患者的一般情况如性别、年龄、教育程度以及疾病特征等。采用逐步多元回归分析法进行分析，筛选有意义的相关因素。结果神经功能缺损评分、发病至介入康复治疗天数、平衡能力、脑卒中后抑郁、年龄等5种因素可进入回归方程。神经功能缺损评分层面预测力最佳，其解释量为14．7％；其次为发病至介入康复治疗天数，解释量为13．6％。这两个变量联合预测力近30％。结论神经功能缺损评分、发病至介入康复治疗天数、平衡能力、脑卒中后抑郁、年龄等因素可较好地预测脑卒中患者步行能力，对步行能力恢复情况影响较大。
Objective To explore the factors influencing ambulation after stroke and how to manage them and improve outcomes. Methods Four hundred and eighty-two stroke survivors were involved in this study. Data were collected on their age, sex, education, location of brain lesion, diagnostic stroke subtype and so on. Multiple regression was applied to analyze the data and determine those factors that could predict ambulation outcomes among these stroke patients. Results The multiple regression analysis of 13 factors revealed that NIHSS scores, time from the onset to receiving rehabilitation therapy, balance, depression, and age were predictors of ambulation outcomes. Conclusions Ambulation outcomes can be improved by multifaceted rehabilitative approaches including early rehabilitation therapy, balance training, and controlling depression.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2010年第2期118-120,共3页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
脑卒中
步行能力
相关因素
多元回归分析
Stroke
Ambulation ability
Influence factors
Multiple regression analysis
