早期康复介入与脑卒中合并代谢综合征患者并发症的关系

Relationship between Early Rehabilitation Intervention and Complications in Stroke Patients with Metabolic Syndrome

目的探讨脑卒中合并代谢综合征(MS)患者早期康复介入与并发症的关系。方法选取我院2014年5月~2017年5月急性脑卒中患者310例,根据是否合并MS分为MS组(152例)和非MS组(158例),并分别评定治疗第1、14及28天的FuglMeyer以及BI分数。分析早期康复介入与临床运动功能评分、日常生活活动能力、并发症的关系。结果非MS组Fugl-Meyer以及BI分数在第14天和第28天高于MS组,差异统计学意义显著(P<0.01)。Fugl-Meyer评分与同时期ADL的BI评分有相关性(P<0.01)。MS组呼吸道感染、泌尿系感染并发症高于非MS组,差异有统计学意义(P<0.05)。结论早期康复介入后,非MS脑卒中患者呼吸道感染、泌尿系感染并发症少于合并MS患者。

Objective To investigate the relationship between early rehabilitation intervention and complications in stroke patients with metabolic syndrome(MS).Methods A total of 310 patients with acute stroke between May 2014 and May 2017 in our hospital were selected and divided into MS group(152 cases)and non-MS group(158 cases)according to whether or not MS was merged.Fugl-Meyer and BI scores were assessed on day 1,14 and 28,respectively.The relationship between early rehabilitation intervention and clinical motor function scores,activities of daily living,and complications was analyzed.Results The Fugl-Meyer and BI scores of the non-MS group were higher on the 14th and 28th days than the MS group,with significant statistical difference(P<0.01).The Fugl-Meyer score was correlated with the ADL BI score in the same period(P<0.01).The complications of respiratory tract infection and urinary tract infection in MS group were higher than those in non-MS group,the difference was statistically significant(P<0.05).Conclusion After early rehabilitation intervention,patients with non-MS stroke had fewer complications of respiratory tract infections and urinary tract infections than patients with MS.