脑卒中患者康复疗效的影响因素

目的分析影响脑卒中偏瘫患者运动功能、日常生活活动能力恢复的因素。方法康复治疗前后，对67 例脑卒中偏瘫患者采用上田敏偏瘫上下肢功能评定、功能独立性测量(FIM)、Berg 平衡量表(BBS)进行评定。以各项评定结果为因变量，可能的影响因素为自变量进行多元线性逐步回归分析。结果影响上田敏下肢功能分级的正性因素包括康复治疗介入、接受康复治疗的时间和高胆固醇，负性因素为体重指数、浅感觉损伤。影响上田敏上肢功能分级的正性因素为康复治疗介入、接受康复治疗的时间，负性因素为体重指数、吞咽困难、浅感觉损伤和发病次数。影响上田敏手指功能分级的正性因素为康复治疗介入和从发病到康复介入的时间，负性因素为肌张力、二便失禁和发病次数。影响患者FIM评分的正性因素为康复治疗介入，负性因素分别为体重指数、二便失禁、高胆固醇、性别和居住状态。影响患者BBS 评分的正性因素为康复治疗介入，负性因素为体重指数、发病次数和高血糖。结论康复介入是脑卒中偏瘫患者功能恢复的有利因素，体重指数为阻碍因素。

Factors Related to Rehabilitation Outcome of Stroke Patients:A Regression Analysis

Objective To investigate the factors related to outcome(recovery of motor,activities of daily living,and balance) of stroke patients.Methods 67 stroke patients with hemiplegia were evaluated with the Ueda Classfication of upper and lower limbs function,Functional Independence Measure(FIM),Berg balance scale(BBS) before and after treatment.The scores of all the assessment were as the dependent variable respectively,and regression analyzed with the factors possiblely related to the outcome.Results The positive factors for lower limbs function included rehabilitation intervention,time of rehabilitation,and hypercholesterolemia;while the negative factors were body mass index(BMI),and damage of superficial sensibility.The positive factors for upper limbs function were rehabilitation intervention and time of rehabilitation;while the negative factors were BMI,dysphagia,damage of superficial sensibility,and frequency of attack.The positive factors for hand function were rehabilitation interventions and interval from diagnosis to rehabilitation,while the negative factors were the muscle tension,incontinence,and frequency of attack.The positive factors for FIM were the rehabilitation intervention,while the negative factors were BMI,incontinence,hypercholesterolemia,gender and residence status.The positive factors for BBS were the rehabilitation intervention,while the negative factors were BMI,frequency of attack,and hyperglycemia.Conclusion Rehabilitation promotes the recovery of stroke patients,but the BMI may block it.