摘要
目的探讨急性脑梗死(acute cerebral infarction,ACI)患者神经功能缺损程度与压疮评分和跌倒评分的相关性。方法选择2014年1月至2018年11月河北省任丘康济新图医院收治的ACI患者3996例,采用美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评估患者神经功能缺损程度,以入院24 h内的神经功能缺损程度评分分为轻型组(NIHSS评分≤4分)、中型组(5分≤NIHSS评分≤15分)和重型组(NIHSS评分>15分);比较各组压疮评分、跌倒评分及NIHSS评分与压疮评分和跌倒评分的关系。结果随着神经功能缺损程度的增加,压疮评分水平逐渐降低,跌倒评分水平呈逐渐增高,且患者住院期间合并消化道出血及质子泵抑制剂治疗比例也逐渐增高,差异均有统计学意义(P<0.05)。多因素logistic回归分析显示,压疮评分(OR=1.745,95%CI:1.524~1.999,P<0.001)、跌倒评分(OR=1.316,95%CI:1.214~1.628,P=0.026)、住院期间合并消化道出血(OR=2.590,95%CI:1.148~5.839,P=0.022)及住院期间质子泵抑制剂治疗(OR=2.869,95%CI:1.594~5.164,P<0.001)是ACI患者神经功能缺损的独立危险因素。Pearson相关性分析显示,患者神经功能缺损程度与压疮评分呈负相关(r=-0.651,P<0.01),与跌倒评分水平呈正相关(r=0.353,P<0.01)。结论压疮评分、跌倒评分、住院期间合并消化道出血及住院期间质子泵抑制剂治疗与ACI患者神经功能缺损程度密切相关。
Objective To investigate the correlation between the degree of neurological deficits and pressure ulcer scores and fall scores in patients with acute cerebral infarction(ACI).Methods A total of 3996 ACI patients admitted to Kangjixintu Hospital from January 2014 to November 2018 were selected.The degree of neurological impairment was assessed using the National Institutes of Health Stroke Scale(NIHSS).The patients were divided into mild group(NIHSS score≤4),moderate group(NIHSS score 5-15)and severe group(NIHSS score>15)according to the neurological impairment scores within 24 h of admission.The relationship between pressure ulcer score,fall score,NIHSS score,pressure ulcer score and fall score were compared among all groups.Results As the degree of neurological deficits increased,the level of pressure ulcer scores gradually decreased,and the level of fall scores gradually increased,and the proportion of patients with gastrointestinal bleeding and proton pump inhibitor treatment during hospitalization also gradually increased,the differences were statistically significant(P<0.05).Multivariate logistic regression analysis showed that pressure ulcer score(OR=1.745,95%CI:1.524-1.999,P<0.001),fall score(OR=1.316,95%CI:1.214-1.628,P=0.026),gastrointestinal bleeding during hospitalization(OR=2.590,95%CI:1.148-5.839,P=0.022)and proton pump inhibitor treatment during hospitalization(OR=2.869,95%CI:1.594-5.164,P<0.001)were independent risk factors for neurological deficits in ACI patients.Pearson correlation analysis showed that the degree of neurological deficits in ACI patients was negatively correlated with the level of pressure sore(r=-0.651,P<0.01)and positively correlated with the level of fall score(r=0.353,P<0.01).Conclusions Pressure ulcer score,fall score,gastrointestinal bleeding during hospitalization and proton pump inhibitor treatment during hospitalization are closely related to the degree of neurological deficits in ACI patients.
作者
高素颖
秦一凡
于凯
张会玲
冀瑞俊
王拥军
Gao Suying;Qin Yifan;Yu Kai;Zhang Huiling;Ji Ruijun;Wang Yongjun(Department of Neurology,Kangjixintu Hospital,Renqiu 062550,China)
出处
《北京医学》
CAS
2021年第12期1201-1204,共4页
Beijing Medical Journal
基金
2021年度河北省医学科学研究课题(20210705)。
关键词
急性脑梗死
神经功能缺损
压疮评分
跌倒评分
acute cerebral infarction(ACI)
neurological deficit
pressure ulcer score
fall score
