脑卒中患者肢体沉重感与肌力、卒中后疲劳的相关性研究

Research of correlation between limb heaviness and muscle strength, post-stroke fatigue in stroke patients

目的 探讨脑卒中患者肢体沉重感与肌力、卒中后疲劳(PSF)的关系。 方法 选取符合研究条件的脑卒中患者110例,采用一般资料量表、改良的Rankin量表、改良Barthel量表、疲劳严重度量表(FSS)评估患者是否存在肢体沉重感与肌力、PSF、功能的现状,探讨脑卒中患者肢体沉重感与肌力、PSF、功能之间的关系。 结果 脑卒中患者肢体沉重感的发生率40.91%(45/110);FSS和改良Barthel评分在患者是否存在肢体沉重感差异有统计学意义(t=-3.244,P=0.002;t=2.019,P=0.046);Spearman相关性分析结果显示,FSS评分与肢体沉重感呈正相关关系(r=0.384,P=0.000),而肌力、改良Barthel评分、改良的Rankin评分与肢体沉重感无关联(分别为r=-0.091,P=0.346;r=-0.185,P=0.053;r=0.132,P=0.170)。 结论 脑卒中患者肢体沉重感发生率较高,肌力的变化不会促进肢体沉重感的发生,存在肢体沉重感的患者更容易并发PSF,也影响患者生活能力的提高,应引起医务人员高度重视,并进行针对性干预。

Objective To explore the correlation between limb heaviness and muscle strength, post-stroke fatigue (PSF) in stroke patients. Methods A total of 110 stroke patients were selected. The general information scale, Modified Rankin Scale (MRS), Modified Barthel Scale, Fatigue Severity Scale (FSS) were used to assess limb heaviness and muscle strength, PSF, and functional status. And to research the relationship of limb heaviness and muscle strength, PSF in stroke patients. Results The incidence of limb heaviness in stroke patients was 40.91% (45/110). FSS and Modified Barthel Score showed significant difference in whether patients have limb heaviness (t=-3.244, P=0.002;t=2.019, P=0.046). Spearman correlation analysis results showed that the FSS score was positively related with limbs heaviness (r=0.384, P=0.000), but muscle strength, Modified Barthel Score, Modified Rankin Score had no correlation with limbs heaviness (r=0.091, P=0.346;r=0.185, P=0.053;r=0.132, P=0.132). Conclusion A higher incidence of stroke patients with limb heaviness. The change of muscle strength won′t promote limbs heaviness, but patients with PSF were easier to concurrent limbs heaviness, also affect the ability of the patients life, should be highly valued by medical workers, and have to intervention.