摘要
【目的】探讨影响康复医学科脑梗死患者出院时日常生活活动能力（theactivitiesofdailyliving，ADL）的影响因素。【方法】回顾性分析脑梗死患者118例的临床资料，通过单、多因素分析影响患者出院时ADL能力的可能因素。【结果】患者入院时改良Barthel指数（modifiedBarthelindex，MBD、康复介入时间、入院时上肢Brunnstrom分期、是否再发脑梗等4因素与出院时MBI评分密切相关，是影响康复医学科脑梗死患者出院时ADL能力的主要因素。【结论】早期介入康复治疗、患者发病程度轻重和预防脑梗死再发是影响脑梗死患者出院时ADL能力的主要因素，对指导临床合理制定康复方案和评估患者预后有重要指导意义。
[Objective]To explore the influential factors of the activities of daily living（ADL） of patients with cerebral infarction in rehabilitation department at discharging from hospital. [Methods]The clinical data of 118 pa- tients with cerebral infarction were analyzed retrospectively. Univariate and multiple factor analysis was used to analyze the possible factors influencing the ADL ability of patients at discharging from hospital. [Results] Four factors including modified Barthel index（MBI）, intervention time of rehabilitation, Brunnstrom stage of upper limb and secondary stroke attack in patients at admission were closely related with MBI score at discharging from hospi- tal. The factors were the main factors influencing the activities of ADL of patients with cerebral infarction in reha- bilitation department at discharging from hospital. [Conclusion]Early intervention of rehabilitation, the severity of stroke and prevention of the recurrence of cerebral infarction are the main factors influencing the activity of ADL of patients with cerebral infarction at discharging from hospital, and of significance to formulate the rehabilitation plan and evaluate the prognosis of patients.
出处
《医学临床研究》
CAS
2013年第3期486-488,共3页
Journal of Clinical Research
关键词
脑梗死
康复
Brain Infarction
Rehabilitation
