体质量指数对老年卒中患者康复进程影响的相关性研究

Correlation study of the influence of body mass index on the rehabilitation process of elderly stroke patients

目的探讨老年卒中患者的体质量指数(BMI)对康复进程以及其卒中后康复结局的影响。方法选择从2018年1月至2019年12月因卒中于广东燕岭医院住院的患者共95例,本根据患者的体质量指数(BMI)分为三组,其中18.5 kg/m^2≤BMI<25 kg/m^2为正常组(n=40),25 kg/m^2≤BMI<30 kg/m^2为超重组(n=37),BMI≥30 kg/m^2为肥胖组(n=18),记录三组患者康复干预前、干预后及3个月后的Barthel指数评分、Ashworth量表评分、Fugl-Meyer上肢运动功能评分和Brunel平衡评分。结果三组患者干预前的Barthel指数评分、Ashworth量表评分、Fugl-Meyer上肢运动功能评分和Brunel平衡评分对比差异均无统计学意义(P>0.05)。干预后和干预3个月肥胖组的Barthel评分、Fugl-Meyer评分和Brunel平衡评分显著低于超重组和正常组(P<0.05),而肥胖组的手、前臂和下肢Ashworth评分均显著高于正常组和超重组(P<0.05)。结论超重及肥胖的BMI降低了卒中患者的康复进程,影响了生活能力、四肢功能及平衡力的康复。

Objective To explore the effect of body mass index(BMI)of elderly stroke patients on rehabilitation process and their rehabilitation outcome after stroke.Methods From January 2018 to December 2019,a total of 95 patients were hospitalized for stroke due to stroke in our hospital.The patients were divided into three groups according to their body mass index(BMI),of which 18.5 kg/m^2≤BMI<25 kg/m^2 was normal group(n=40),25 kg/m^2≤BMI<30 kg/m^2 was hyper-recombination(n=37),BMI≥30 kg/m^2 is obese group(n=18).The Barthel index score,Ashworth scale score,Fugl-Meyer upper extremity motor function score and Brunel balance score of the three groups of patients were recorded before,after and 3 months after rehabilitation intervention.Results There was no statistically significant difference in Barthel index score,Ashworth scale score,Fugl-Meyer upper extremity motor function score and Brunel balance score before intervention in the three groups(P>0.05).The Barthel score,Fugl-Meyer score and Brunel balance score of the obese group after intervention and 3 months of intervention were significantly lower than those of the super-recombinant and normal groups(P<0.05),while the Ashworth scores of the hands,forearms and lower limbs of the obese group were significantly higher normal group and super reorganization(P<0.05).Conclusions The BMI index of overweight and obesity impact the rehabilitation process of stroke patients,and affects the rehabilitation of life ability,limb function and balance.