不同年龄脑卒中患者康复结局的比较

Comparison of rehabilitation outcomes among stroke patients of different age

目的分析460例脑卒中患者临床资料的分析,探讨不同年龄组患者的康复结局。方法采用回顾性研究的方法,对1994-01/2001-12北京博爱医院收治的460例首发脑卒中患者的病历进行分析、比较<60岁和≥60岁两组患者住院时间和日常生活活动(ADL)的变化。结果60岁及以上患者的ADL入院、ADL出院分别为44±24,67±22,均小于60岁以下患者55±23,78±17(t=4.8,5.4,P<0.0001);ADL增加值无差异。年龄与ADL入院、ADL出院和住院时间的相关系数r和P值分别为r=-0.31,P=0.00;r=-0.32,P=0.00;r=0.11,P=0.01。结论年龄较长的患者,入院和出院时的功能状态均较差;不同年龄的患者可获得相同程度的功能改善。年龄与ADL入院、ADL出院成负相关,与住院时间成正相关,与ADL增加不相关。

Aim To explore the rehabilitation outcomes of patients in different age groups.Methods 460 patients with primary stroke, including 313 cases aged over 60 years old, 256 males and 57 females with the average age of 47.3 years, and 147 cases aged below 60 years old, 113 males and 34 females with the average age of 66.6 years, who accepted treatment in Boai Hospital of Beijing, were investigated respectively to record length of stay and the changes of activities of daily living(ADL), and then analyze and compare in results between the two age groups.Results The scores of ADLadmission and ADLdischarge of patients aged over 60 years old were 44± 24 and 67± 22 respectively significantly lower than those of patients aged below 60 years old(55± 23 and 78± 17 respectively,t=4.8, 5.4,P< 0.0001). The age showed a negative correlation with ADLadmission and ADLdischarge(r=- 0.31,- 0.32,P=0.00).The length of stay was positively correlated to the age (r=0.11,P=0.01).Conclusion Functional status of older patients is poorer at the time of admission and discharge compared with the younger ones. Functional improvements of older patients younger patients are same.The age of patients is negatively correlated with ADL admission and ADL discharge, and positively correlated to the length of stay,but not correlated to the promotion of ADL.