轻型卒中患者衰弱现状及影响因素

Current Status and Influencing Factors of Frailty in Patients with Mild Stroke

目的了解轻型卒中患者的衰弱现状及影响因素。方法选取2022年1~10月在福建某三级甲等医院神经内科住院的251例轻型卒中患者为研究对象。采用一般资料调查表、Frail量表、美国国立卫生研究院卒中量表(NIHSS)、抑郁-焦虑-压力量表进行调查。采用有序多分类logistic回归分析衰弱的影响因素。结果轻型卒中患者衰弱和衰弱前状态的发生率为22.3%和44.2%。logistic回归显示发病至入院时间、入院NIHSS评分、小学及以下文化、多重用药、焦虑是轻型卒中患者衰弱的独立影响因素(P<0.05)。结论轻型卒中患者衰弱及衰弱前状态发生率高,应对衰弱进行评估及管理,从而预防和改善卒中预后。

Objective To understand the current state of frailty and influencing factors in patients with mild stroke.Methods A total of 251 mild stroke patients who were hospitalized in the Department of Neurology at a tertiary A hospital in Fujian from January to October 2022 were selected as the study subjects.The survey was conducted using the general information questionnaire,Frail scale,National Institutes of Health Stroke Scale,and depression anxiety stress scale.Using ordered multi classification logistic regression analysis to analyze the influencing factors of weakness.Results The incidence of frailty and pre frailty in mild stroke patients was 22.3%and 44.2%,respectively.Logistic regression showed that the time from onset to admission,admission NIHSS score,primary school education and below,multiple medication use,and anxiety were independent influencing factors for frailty in mild stroke patients(P<0.05).Conclusions The incidence of frailty and pre frailty in mild stroke patients is high,and frailty should be evaluated and managed to prevent and improve stroke prognosis.