初发脑梗塞患者步行能力的预测研究

Prediction in walking ability of inpatient with firstever stroke

目的：预测初发脑梗塞住院患者出院时的步行能力。方法：回顾性分析１９９１—１９９４年住院的初发脑梗塞患者，共３６０例（１４例死亡），２０４例入院时不能行走，按出院时能否独立行走分为行走组（９５例）和非行走组（１０９例）。对发病时情况，入院后检查结果等参数进行单因素（ｔ检验和ｘ２检验）和多元回归分析。结果：单因素分析中年龄、高血压、糖尿病、尿失禁、大片梗塞及住院天数２组间差异有显著性（Ｐ＜０．０５）；多因素分析中年龄、性别、失语、头晕、住院天数、入院时血压、糖尿病、冠心病、病灶所在半球、大片、多发梗塞、血尿素氮、尿白细胞等１４个因素对步行能力有显著性影响（Ｐ＝０．０１—０．０５）。结论：根据初发脑梗塞患者发病及入院时的资料可以预测出院时的步行能力，并为拟定早期康复计划提供客观依据。

Objective: To predict walking ability of inpatients with first-ever stroke. Methods: 360 first-ever stroke patients, admitted to our hospital between January 1991 and December 31 1994, were analyzed. 14 cases were died in the hospital, 204 cases who can' t walk alone at admission were divided into two group: walk-alone (95 )and non walk alone (104). Some date from patients and results of laboratory, were analyzed using SPSS on the computer. Results: Between two groups significant differences were found in and X2 test including age, hypertension, diabetes, urinary incontinence, large infarction and days in hospital (P < 0. 05 ). 14 factors in multiple logistic regression, including age, sex, aphasia, dizzy, days in hospital, blood pressure at admission, diabetes, coronary heart disease, location and area of cerebral infaretion, blood urea, urine WBC showed obviously effect in walking ability of patients at discharge(P = 0. 001 ~ 0. 005 ). Conclusion: Walking ability of inpatients with first-ever stroke could be predicted according to patients information at the onset, admission and laboratory exams. This research could be also useful in planning early rehabilitation.