肥胖对急性脑梗死后肢体瘫痪患者近期肢体康复的影响

目的探讨肥胖对急性脑梗死后肢体瘫痪患者近期肢体康复的影响。方法采用前瞻性病历对照研究方法,对326例初次发病,有肢体偏瘫的急性脑梗死患者入院及发病6个月时肢体康复情况进行跟踪对比研究,根据体重指数(BMI)不同,患者分为体重正常组、超重组与肥胖组,肢体功能情况采用肢体功能量表评分(FMA)。结果由于各种原因73例患者无法进入统计分析,剩余253例中体重正常者80例(31.6%),超重者112例(44.3%),肥胖者61例(24.1%)。出院时体重正常组FMA评分好于超重组,超重组好于肥胖组,但无统计学意义(P>0.05)。出院6个月时体重正常组FMA评分好于超重组,但无统计学意义(P>0.05);两组与肥胖组比较均有显著统计学差异(P<0.05)。出院6个月与入院时比较,体重正常组及超重组FMA评分的提高,均好于肥胖组(P<0.001与P<0.05)。结论肥胖对脑梗死患者肢体康复情况密切相关。

Impact of patient's weight on stroke rehabilitation results in the near future

Objective To evaluate the influence of patient＇s weight on rehabilitation results after first stroke in the near future. Methods Prospective, comparative study. The sample comprised 253 first-time stroke patients （80 patients in the normal- weight group, 112 in the overweight group, and 61 in the obese group）. We evaluated the difference in Fugl-Meyer Assessment （ FMA ） score improvement between normal-weight, overweight, and obese patients at discharge and at 6 months after discharge. Results The FMA score was significantly higher in normal-weight patients than in obese patients at 6 months after discharge （ P 〈 0.05 ）. So was in overweight patients （P 〈 0.05 ）. The relative improvement of FMA score was significantly higher in normal-weight patients than in obese patients, and improvement in overweight patients was significantly higher than in obese ones too. Conclusion Our study revealed that during the first 6 months, rehabilitation is statistically significantly less effective in overweight and, particularly, in obese patients （evaluated by BMI）.