镜像训练引导的运动想象疗法对急性缺血性脑卒中偏瘫患者上肢功能的康复效果

目的:本研究旨在对镜像训练引导的运动想象疗法是否能够更有效地改善急性缺血性脑卒中后偏瘫患者的上肢功能以及日常生活能力进行评价。方法:研究对象为2014年1月1日—2016年6月30日符合病例选择标准的76例急性缺血性脑卒中后偏瘫患者。将76例患者随机分入镜像训练引导的运动想象疗法组(38例)和单纯的运动想象疗法组(38例),在常规康复训练的基础上,分别接受镜像训练引导的运动想象疗法和单纯的运动想象疗法,共治疗4周。对2组治疗前后的美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分、Barthel指数、上肢动作研究量表(Action Research Arm Test,ARAT)评分和Fugl-Meyer上肢运动功能评分进行比较。结果:2组患者治疗后的NIHSS评分、Barthel指数、ARAT评分和Fugl-Meyer上肢运动功能评分均较治疗前显著改善(P值均0.05)。镜像训练引导的运动想象疗法组治疗后的NIHSS评分、Barthel指数、ARAT评分和Fugl-Meyer上肢运动功能评分的改善幅度均显著大于单纯的运动想象疗法组(P值均0.05)。结论:镜像训练引导的运动想象疗法应用于急性缺血性脑卒中后偏瘫患者上肢功能的康复治疗,与单纯的运动想象疗法相比,可以更好地改善患者的上肢功能和生活自理能力。     

运动想象结合运动再学习对偏瘫患者上肢运动功能恢复的作用

目的 探讨运动想象结合运动再学习对偏瘫患者上肢运动功能恢复的影响.方法 将120例脑卒中偏瘫患者随机分成运动想象组(治疗组)和一般治疗组(对照组),其中治疗组60例,对照组60例,2组均进行常规神经内科药物治疗和运动再学习训练,其中运动想象组在训练前进行 "运动想象".2组均接受1次/d,40min/次,治疗6周.采用Fugl-Meyer上肢运动功能评分法(FMA)、改良Barthel指数法(MBI)对2组患者治疗前、后上肢功能和日常生活活动能力进行评定.结果 2组患者上肢功能和日常生活活动能力积分较治疗前均有明显提高(P<0.01),但治疗组的改善明显优对照组(P<0.01).结论 运动再学习结合运动想象疗法可提高偏瘫患者上肢运动功能.     

应用加速度记录仪定量评估急性脑梗死患者上肢运动功能

目的 应用加速度记录仪定量评估急性脑梗死患者上肢运动功能.方法 选择入院的脑梗死偏瘫患者48例,分别在入院时、治疗4周后使用Fugl-Meyer量表(FMA)和功能独立性评定量表(FIM)评估上肢功能.另在偏瘫侧手腕佩戴手表式加速度记录仪5 d,评价昼间平均活动量及去趋势变化参数(DFA),对量表评分与参数进行相关性分析.结果 治疗4周后,患者FMA评分、昼间活动量以及DFA参数较治疗前显著改善(P<0.05),DFA参数与FMA、FIM量表存在较好的相关性.结论 加速度记录仪记录的平均活动量及DFA参数能够客观、量化地评价脑梗死患者上肢的运动功能.     

高压氧疗法对急性脑梗死患者运动功能及血液流变学的影响

目的探讨高压氧疗法对急性脑梗死患者运动功能及血液流变学的影响。方法将100例急性脑梗死患者随机分为对照组(单纯药物治疗组)40例,治疗组(高压氧 药物治疗组)60例。于入院时和入院治疗1个月后检测血液流变学各指标,并根据神经功能缺损程度评分标准评价运动功能。结果治疗前后2组病人的血液流变学指标差异有显著性(P<0.05),治疗后治疗组较对照组疗效显著(P<0.05),治疗组神经功能缺损程度评分较对照组明显改善(P<0.05)。结论高压氧疗法不仅可改善急性脑梗死患者的运动功能,还可有效降低复发的危险。     

运动想象疗法联合第三代功能性电刺激术对急性缺血性卒中患者上肢运动功能的影响

目的探讨运动想象疗法联合第3代功能性电刺激术对急性缺血性卒中偏瘫患者上肢运动功能的改善作用。方法共40例急性缺血性卒中患者于发病后48 h内随机接受第3代功能性电刺激术(FES组)或联合运动想象疗法(联合治疗组),2周后采用简化Fugl-Meyer运动功能评价量表(FMA)和上肢动作研究测验量表(ARAT)评价上肢运动功能、量角器测量腕关节背伸活动范围。结果与治疗前相比,两组患者治疗2周后FMA、ARAT评分和腕关节背伸活动范围均改善(P=0.000),联合治疗组患者FMA评分(t=-2.528,P=0.016)、ARAT评分(t=-2.562,P=0.014)和腕关节背伸活动范围(t=-2.469,P=0.018)改善程度均优于FES组;且治疗方法与观察时间点之间存在交互作用(均P0.05)。结论运动想象疗法联合第3代功能性电刺激术对改善急性缺血性卒中患者上肢运动功和腕关节背伸活动范围有较好疗效。     

镜像疗法结合循经按摩对脑梗死偏瘫患者上肢功能的疗效观察

目的观察镜像疗法结合循经按摩对脑梗死偏瘫患者上肢运动功能及日常生活活动能力的影响。方法将贵州中医药大学第二附属医院神经内科病房的60例脑梗死偏瘫患者随机分为镜像组、循经按摩组、结合组,每组20例。3组均采取常规治疗及康复,在此基础上,镜像组采用镜像视觉反馈康复训练,循经按摩组采用循上肢手阳明大肠经按摩,结合组在镜像视觉反馈的基础上结合循经按摩。于干预前及干预3周后,比较各组患者患侧上肢Fugl-Meyer运动功能(FMA)、改良Ashworth痉挛评定、改良Barthel指数(MBI)评分。结果3组患者干预前患侧上肢FMA、MBI评分及Ashworth痉挛评定比较,差异均无统计学意义(P>0.05);干预3周后,3组患者患侧上肢FMA、MBI评分均较干预前提高,差异有统计学意义(P<0.05);干预后结合组患侧上肢FMA、MBI得分较镜像组和循经按摩组更优(P<0.05);干预后镜像组Ashworth痉挛评定结果无明显差异(P>0.05),循经按摩组及结合组Ashworth痉挛评定级别均降低,差异有统计学意义(P<0.05);相比镜像组,干预后结合组Ashworth痉挛评定差异有统计学意义(P<0.05)。结论镜像疗法结合循经按摩可以有效降低脑梗死偏瘫患者肌张力,改善患侧上肢运动功能,提高日常生活活动能力,治疗效果优于单独使用镜像疗法和单独使用循经按摩。     

运动疗法促进脑梗死患者下肢运动功能恢复与PDGF-BB的相关性研究

目的探讨运动疗法促进脑梗死患者下肢运动功能恢复与PDGF-BB的相关性。方法随机将73例脑梗死患者分为脑梗死后非运动组与脑梗死后运动组,另选30例正常老人作为对照组。脑梗死后非运动组患者采取常规治疗;脑梗死后运动组患者在常规治疗的基础上,进行减重步行训练。分别在脑梗死后1 w、4 w、2 m、3 m 4个时点检测外周血PDGF-BB水平,采用FMA运动量表评估下肢运动功能恢复情况。结果脑梗死后运动组患者其PDGF-BB水平在检测的4个时点均较脑梗死后非运动组高(P<0.05);脑梗死后运动组患者其下肢FMA评分从4 w(1 m左右)开始,均明显高于脑梗死后非运动组(P<0.05),且2 m时评分高于4 w(P<0.05)。相关性分析显示,脑梗死后运动组下肢FMA评分与血PDGF-BB水平存在正相关性(r=0.67)。结论减重步行训练极有可能通过促进PDGF-BB的分泌帮助脑梗死后下肢运动功能的恢复。     

早期运动疗法及再学习方案对脑梗死患者平衡和肢体运动功能的影响

目的探讨早期运动疗法及再学习方案对脑梗死患者平衡和肢体运动功能的影响。方法选取我院2010-07—2011-09入院治疗的84例脑梗死患者为研究对象,随机分成对照组和运动组。对照组给予常规护理、康复训练,运动组在此基础上给予运动疗法及再学习方案。3个月后采用Fugl-meyer平衡量表和Sheikh躯干控制量表对患者的相关能力进行评价,对评价结果进行比较分析。结果在Fugl-meyer平衡量表得分方面:对照组治疗后(3.402±1.237)分,运动组治疗后(5.023±1.593)分,2组治疗后得分均明显升高,但运动组得分明显高于对照组;在Sheikh躯干控制量表的得分方面:对照组治疗后(54.453±11.524)分,运动组治疗后(76.023±13.453)分,2组治疗后得分均明显升高,但运动组得分明显高于对照组,P均<0.05,差异具有统计学意义。结论早期运动疗法及再学习方案对脑梗死患者平衡和肢体运动功能的恢复具有重要的作用和意义,是一种针对脑梗死患者康复训练的有效方法。     

早期介入运动想象疗法对急性脑卒中偏瘫患者下肢运动功能及日常生活活动能力的影响

目的探讨早期介入运动想象疗法对急性脑卒中偏瘫患者下肢运动功能和日常生活活动能力的影响。方法将67例急性脑卒中偏瘫患者随机分为运动疗法组(34例)、对照组(33例)。对照组采用常规西药和基础康复治疗,运动疗法组在此基础上采用运动想象疗法进行早期干预。分别于入组时,治疗后2、4、8周以及90 d,采用简化的Fugl-Meyer运动量表(FMA)和改良Barthel指数量表(MBI)评定患者的下肢运动功能和日常生活活动能力。结果两组治疗前下肢FMA及MBI评分差异无统计学意义(P0.05)。至第8周,两组患者下肢FMA及MBI评分呈增高趋势,各时间点差异有统计学意义(均P0.05),两组患者第90 d与第8周差异无统计学意义(均P0.05)。运动疗法组第2、4、8周及第90 d的下肢FMA及MBI评分均高于对照组(均P0.05)。结论在常规康复治疗基础上,早期介入运动想象训练可显著促进急性脑卒中偏瘫患者下肢运动功能和日常生活活动能力的恢复。     

Major ozonated autohemotherapy promotes the recovery of upper limb motor function in patients with acute cerebral infarction

Major ozonated autohemotherapy is classically used in treating ischemic disorder of the lower limbs. In the present study, we performed major ozonated autohemotherapy treatment in patients with acute cerebral infarction, and assessed outcomes according to the U.S. National Institutes of Health Stroke Score, Modified Rankin Scale, and transcranial magnetic stimulation motor-evoked potential. Compared with the control group, the clinical total effective rate and the cortical potential rise rate of the upper limbs were significantly higher, the central motor conduction time of upper limb was significantly shorter, and the upper limb motor-evoked potential amplitude was significantly increased, in the ozone group. In the ozone group, the National Institutes of Health Stroke Score was positively correlated with the central motor conduction time and the motor-evoked potential amplitude of the upper limb. Central motor conduction time and motor-evoked potential amplitude of the upper limb may be effective indicators of motor-evoked potentials to assess upper limb motor function in cerebral infarct patients. Furthermore, major ozonated autohemotherapy may promote motor function recovery of the upper limb in patients with acute cerebral infarction.     

Effects of paired associated stimulation with different stimulation position on motor cortex excitability and upper limb motor function in patients with cerebral infarction

ObjectiveTo investigate the effects of paired associated stimulation (PAS) with different stimulation position on motor cortex excitability and upper limb motor function in patients with cerebral infarction.MethodA total of 120 volunteers with cerebral infarction were randomly divided into four groups. Based on conventional rehabilitation treatment, the PAS stimulation group was given the corresponding position of PAS treatment once a day for 28 consecutive days. The MEP amplitude and RMT of both hemispheres were assessed before and after treatment, and a simple upper limb Function Examination Scale (STEF) score, simplified upper limb Fugl–Meyer score (FMA), and improved Barthel Index (MBI) were used to assess upper limb motor function in the four groups.ResultsFollowing PAS, the MEP amplitude decreased, and the RMT of abductor pollicis brevis (APB) increased on the contralesional side, while the MEP amplitude increased and the RMT of APB decreased on the ipsilesional side. After 28 consecutive days the scores of STEF, FMA, and MBI in the bilateral stimulation group were significantly better than those in the ipsilesional stimulation group and the contralesional stimulation group, but there was no significant difference in the scores of STEF, FMA, and MBI between the ipsilesional stimulation group and the contralesional stimulation group.ConclusionThe excitability of the motor cortex can be changed when the contralesional side or the ipsilesional side was given the corresponding PAS stimulation, while the bilateral PAS stimulation can more easily cause a change of excitability of the motor cortex, resulting in better recovery of the upper limb function.     

急性脑梗死患者上气道形态变化

Objective To investigate the feature of the morphology changes in the upper airway in patients with acute cerebral infarction and to find a new method to prevent and cure cerebral infarction.Methods Sixty-six patients with cerebral infarction confirmed by brain MRI or CT scan(within 3 weeks of onset) were recruited.The patients were examined by upper airway MRI scan and polysomnography (PSG).Then the patients were divided into obstructive sleep apnea hypopnca syndrome(OSAHS)group and non-OSAHS group.In addition.16 patients showing OSAHS but without stroke history(OSAHS nonstroke group)were included in the study.The sagittal and horizontal lengths of the nasopharynx,palatopharynx,glossopharynx and hypopharynx were measured and their closs-sectional areas were calculated.The length,thickness and cross-sectional area of the palate were also measured.Statistic analysis of each data among the groups was performed using SPSS software.Results Among 66 cases with acute cerebral infarction,75.8 % (50/66)were diagnosed with OSAHS.The anteropesterior diameer,left and right diameters and smallest section area in upper airway were all smaller in the OSAHS group with acute cerebral infaretion than those in the non-OSAHS group and OSAHS non-stroke group.The narrowest segments in upper airway were nasopharynx and ompharynx.which are caused by shortened left and right diameters.The area of the soft palate in the OSAHS-stroke group was significant bigger((452.2±99.6)mm2)than that in non-OSAHS group((350.0±69.4)mm2,t:4.575,P<0.05).The lowest SO2 in OSAHS-stroke group(68.9 % ±10.5 % )was the lowest among three groups.The more severe the airway constriction was.the higher the apnea-hypopnea index(AHI)was and the lower the lowest SO2 was.Conclusion Patients withl stroke show higher incidence of OSAHS and present more severe multilevel upper airway constriction.Upper airway constriction may be the new target of early treatment for better prognosis of cerebral infarction.     

急性脑梗死患者上气道形态变化

Objective To investigate the feature of the morphology changes in the upper airway in patients with acute cerebral infarction and to find a new method to prevent and cure cerebral infarction.Methods Sixty-six patients with cerebral infarction confirmed by brain MRI or CT scan(within 3 weeks of onset) were recruited.The patients were examined by upper airway MRI scan and polysomnography (PSG).Then the patients were divided into obstructive sleep apnea hypopnca syndrome(OSAHS)group and non-OSAHS group.In addition.16 patients showing OSAHS but without stroke history(OSAHS nonstroke group)were included in the study.The sagittal and horizontal lengths of the nasopharynx,palatopharynx,glossopharynx and hypopharynx were measured and their closs-sectional areas were calculated.The length,thickness and cross-sectional area of the palate were also measured.Statistic analysis of each data among the groups was performed using SPSS software.Results Among 66 cases with acute cerebral infarction,75.8 % (50/66)were diagnosed with OSAHS.The anteropesterior diameer,left and right diameters and smallest section area in upper airway were all smaller in the OSAHS group with acute cerebral infaretion than those in the non-OSAHS group and OSAHS non-stroke group.The narrowest segments in upper airway were nasopharynx and ompharynx.which are caused by shortened left and right diameters.The area of the soft palate in the OSAHS-stroke group was significant bigger((452.2±99.6)mm2)than that in non-OSAHS group((350.0±69.4)mm2,t:4.575,P<0.05).The lowest SO2 in OSAHS-stroke group(68.9 % ±10.5 % )was the lowest among three groups.The more severe the airway constriction was.the higher the apnea-hypopnea index(AHI)was and the lower the lowest SO2 was.Conclusion Patients withl stroke show higher incidence of OSAHS and present more severe multilevel upper airway constriction.Upper airway constriction may be the new target of early treatment for better prognosis of cerebral infarction.     

急性脑梗死患者上气道形态变化

Objective To investigate the feature of the morphology changes in the upper airway in patients with acute cerebral infarction and to find a new method to prevent and cure cerebral infarction.Methods Sixty-six patients with cerebral infarction confirmed by brain MRI or CT scan(within 3 weeks of onset) were recruited.The patients were examined by upper airway MRI scan and polysomnography (PSG).Then the patients were divided into obstructive sleep apnea hypopnca syndrome(OSAHS)group and non-OSAHS group.In addition.16 patients showing OSAHS but without stroke history(OSAHS nonstroke group)were included in the study.The sagittal and horizontal lengths of the nasopharynx,palatopharynx,glossopharynx and hypopharynx were measured and their closs-sectional areas were calculated.The length,thickness and cross-sectional area of the palate were also measured.Statistic analysis of each data among the groups was performed using SPSS software.Results Among 66 cases with acute cerebral infarction,75.8 % (50/66)were diagnosed with OSAHS.The anteropesterior diameer,left and right diameters and smallest section area in upper airway were all smaller in the OSAHS group with acute cerebral infaretion than those in the non-OSAHS group and OSAHS non-stroke group.The narrowest segments in upper airway were nasopharynx and ompharynx.which are caused by shortened left and right diameters.The area of the soft palate in the OSAHS-stroke group was significant bigger((452.2±99.6)mm2)than that in non-OSAHS group((350.0±69.4)mm2,t:4.575,P<0.05).The lowest SO2 in OSAHS-stroke group(68.9 % ±10.5 % )was the lowest among three groups.The more severe the airway constriction was.the higher the apnea-hypopnea index(AHI)was and the lower the lowest SO2 was.Conclusion Patients withl stroke show higher incidence of OSAHS and present more severe multilevel upper airway constriction.Upper airway constriction may be the new target of early treatment for better prognosis of cerebral infarction.     

急性脑梗死患者上气道形态变化

Objective To investigate the feature of the morphology changes in the upper airway in patients with acute cerebral infarction and to find a new method to prevent and cure cerebral infarction.Methods Sixty-six patients with cerebral infarction confirmed by brain MRI or CT scan(within 3 weeks of onset) were recruited.The patients were examined by upper airway MRI scan and polysomnography (PSG).Then the patients were divided into obstructive sleep apnea hypopnca syndrome(OSAHS)group and non-OSAHS group.In addition.16 patients showing OSAHS but without stroke history(OSAHS nonstroke group)were included in the study.The sagittal and horizontal lengths of the nasopharynx,palatopharynx,glossopharynx and hypopharynx were measured and their closs-sectional areas were calculated.The length,thickness and cross-sectional area of the palate were also measured.Statistic analysis of each data among the groups was performed using SPSS software.Results Among 66 cases with acute cerebral infarction,75.8 % (50/66)were diagnosed with OSAHS.The anteropesterior diameer,left and right diameters and smallest section area in upper airway were all smaller in the OSAHS group with acute cerebral infaretion than those in the non-OSAHS group and OSAHS non-stroke group.The narrowest segments in upper airway were nasopharynx and ompharynx.which are caused by shortened left and right diameters.The area of the soft palate in the OSAHS-stroke group was significant bigger((452.2±99.6)mm2)than that in non-OSAHS group((350.0±69.4)mm2,t:4.575,P<0.05).The lowest SO2 in OSAHS-stroke group(68.9 % ±10.5 % )was the lowest among three groups.The more severe the airway constriction was.the higher the apnea-hypopnea index(AHI)was and the lower the lowest SO2 was.Conclusion Patients withl stroke show higher incidence of OSAHS and present more severe multilevel upper airway constriction.Upper airway constriction may be the new target of early treatment for better prognosis of cerebral infarction.     

急性脑梗死患者上气道形态变化

Objective To investigate the feature of the morphology changes in the upper airway in patients with acute cerebral infarction and to find a new method to prevent and cure cerebral infarction.Methods Sixty-six patients with cerebral infarction confirmed by brain MRI or CT scan(within 3 weeks of onset) were recruited.The patients were examined by upper airway MRI scan and polysomnography (PSG).Then the patients were divided into obstructive sleep apnea hypopnca syndrome(OSAHS)group and non-OSAHS group.In addition.16 patients showing OSAHS but without stroke history(OSAHS nonstroke group)were included in the study.The sagittal and horizontal lengths of the nasopharynx,palatopharynx,glossopharynx and hypopharynx were measured and their closs-sectional areas were calculated.The length,thickness and cross-sectional area of the palate were also measured.Statistic analysis of each data among the groups was performed using SPSS software.Results Among 66 cases with acute cerebral infarction,75.8 % (50/66)were diagnosed with OSAHS.The anteropesterior diameer,left and right diameters and smallest section area in upper airway were all smaller in the OSAHS group with acute cerebral infaretion than those in the non-OSAHS group and OSAHS non-stroke group.The narrowest segments in upper airway were nasopharynx and ompharynx.which are caused by shortened left and right diameters.The area of the soft palate in the OSAHS-stroke group was significant bigger((452.2±99.6)mm2)than that in non-OSAHS group((350.0±69.4)mm2,t:4.575,P<0.05).The lowest SO2 in OSAHS-stroke group(68.9 % ±10.5 % )was the lowest among three groups.The more severe the airway constriction was.the higher the apnea-hypopnea index(AHI)was and the lower the lowest SO2 was.Conclusion Patients withl stroke show higher incidence of OSAHS and present more severe multilevel upper airway constriction.Upper airway constriction may be the new target of early treatment for better prognosis of cerebral infarction.     

急性脑梗死患者上气道形态变化

目的 了解急性腩梗死患者的上气道形态变化特点,探讨脑梗死新的防治途径.方法 选取经MRI确诊的病程小于3周的脑梗死患者,均行上气道MRI及多导睡眠图(PSG)检查,患者被分为阻塞性睡眠呼吸暂停低通气(OSAHS)组(50例),非OSAHS组(16例),另设无脑梗死的OSAHS组(16例).3组分别测量鼻咽、腭咽、口咽和喉咽的气道截面积,各段前后、左右径和软腭厚度、长度及截面积,将各项测量指标进行统计学分析.结果 66例脑梗死患者完成上气道MRI及PSG检查,50例(75.8 % )符合OSAHS诊断标准.脑梗死伴OSAHS组上气道各段前后径、左右径和最小截面积均小于脑梗死不伴OSAHS组及无脑梗死组,上气道最狭窄处为鼻咽和口咽,其截面积的减小主要由于左右径的缩短所致.脑梗死伴OSAHS组软腭各指标均大于脑梗死不伴OSAHS组,软腭截面积[分别为(452.2 ±99.6)mm2和(350.0 ±69.4)mm2]的增大有统计学意义(t=4.575,P<0.05).3组中脑梗死伴OSAHS组最低血氧饱和度值最低(68.9 % ±10.5 % ).上气道狭窄越严重睡眠呼吸暂停低通气指数(AHI)值越大,平均最低血氧饱和度越低.结论 急性脑梗死患者OSAHS发生率高,存在严重的、多水平的上气道狭窄,提示上气道狭窄可能是早期干预、改善脑梗死患者预后和转归的新靶点.     

急性脑梗死患者上气道形态变化

Objective To investigate the feature of the morphology changes in the upper airway in patients with acute cerebral infarction and to find a new method to prevent and cure cerebral infarction.Methods Sixty-six patients with cerebral infarction confirmed by brain MRI or CT scan(within 3 weeks of onset) were recruited.The patients were examined by upper airway MRI scan and polysomnography (PSG).Then the patients were divided into obstructive sleep apnea hypopnca syndrome(OSAHS)group and non-OSAHS group.In addition.16 patients showing OSAHS but without stroke history(OSAHS nonstroke group)were included in the study.The sagittal and horizontal lengths of the nasopharynx,palatopharynx,glossopharynx and hypopharynx were measured and their closs-sectional areas were calculated.The length,thickness and cross-sectional area of the palate were also measured.Statistic analysis of each data among the groups was performed using SPSS software.Results Among 66 cases with acute cerebral infarction,75.8 % (50/66)were diagnosed with OSAHS.The anteropesterior diameer,left and right diameters and smallest section area in upper airway were all smaller in the OSAHS group with acute cerebral infaretion than those in the non-OSAHS group and OSAHS non-stroke group.The narrowest segments in upper airway were nasopharynx and ompharynx.which are caused by shortened left and right diameters.The area of the soft palate in the OSAHS-stroke group was significant bigger((452.2±99.6)mm2)than that in non-OSAHS group((350.0±69.4)mm2,t:4.575,P<0.05).The lowest SO2 in OSAHS-stroke group(68.9 % ±10.5 % )was the lowest among three groups.The more severe the airway constriction was.the higher the apnea-hypopnea index(AHI)was and the lower the lowest SO2 was.Conclusion Patients withl stroke show higher incidence of OSAHS and present more severe multilevel upper airway constriction.Upper airway constriction may be the new target of early treatment for better prognosis of cerebral infarction.