早期康復(fù)介入與腦卒中合并代謝綜合征患者并發(fā)癥的關(guān)系

王曉強(qiáng) 張艷軍 賈琎 籍玉紅

摘 要：目的 探討腦卒中合并代謝綜合征（MS）患者早期康復(fù)介入與并發(fā)癥的關(guān)系。方法 選取我院2014年5月～2017年5月急性腦卒中患者310例，根據(jù)是否合并MS分為MS組（152例）和非MS組（158例），并分別評(píng)定治療第1、14及28天的Fugl-Meyer以及BI分?jǐn)?shù)。分析早期康復(fù)介入與臨床運(yùn)動(dòng)功能評(píng)分、日常生活活動(dòng)能力、并發(fā)癥的關(guān)系。結(jié)果 非MS組Fugl-Meyer以及BI分?jǐn)?shù)在第14天和第28天高于MS組，差異統(tǒng)計(jì)學(xué)意義顯著（P<0.01）。Fugl-Meyer評(píng)分與同時(shí)期ADL的BI評(píng)分有相關(guān)性（P<0.01）。MS組呼吸道感染、泌尿系感染并發(fā)癥高于非MS組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 早期康復(fù)介入后，非MS腦卒中患者呼吸道感染、泌尿系感染并發(fā)癥少于合并MS患者。

關(guān)鍵詞：腦卒中；康復(fù)；并發(fā)癥

中圖分類號(hào)：R743.3 文獻(xiàn)標(biāo)識(shí)碼：A DOI：10.3969/j.issn.1006-1959.2018.08.030

文章編號(hào)：1006-1959（2018）08-0096-03

Relationship between Early Rehabilitation Intervention and Complications in Stroke Patients with Metabolic Syndrome

WANG Xiao-qiang，ZHANG Yan-jun，JIA Jin，JI Yu-hong

（Department of Neurology，Huanghe Hospital of Tianjin，Tianjin 300110，China）

Abstract：Objective To investigate the relationship between early rehabilitation intervention and complications in stroke patients with metabolic syndrome（MS）.Methods A total of 310 patients with acute stroke between May 2014 and May 2017 in our hospital were selected and divided into MS group（152 cases）and non-MS group（158 cases）according to whether or not MS was merged.Fugl-Meyer and BI scores were assessed on day 1，14 and 28，respectively.The relationship between early rehabilitation intervention and clinical motor function scores，activities of daily living，and complications was analyzed.Results The Fugl-Meyer and BI scores of the non-MS group were higher on the 14th and 28th days than the MS group，with significant statistical difference（P<0.01）.The Fugl-Meyer score was correlated with the ADL BI score in the same period（P<0.01）.The complications of respiratory tract infection and urinary tract infection in MS group were higher than those in non-MS group，the difference was statistically significant（P<0.05）. Conclusion After early rehabilitation intervention，patients with non-MS stroke had fewer complications of respiratory tract infections and urinary tract infections than patients with MS.

Key words：Stroke；Rehabilitation；Complications

腦血管病已成為人類死亡的三大疾病之一，有較高的致殘率和死亡率，存活患者中約70%～80%有不同程度的功能障礙，產(chǎn)生不同的并發(fā)癥[1]。預(yù)防腦卒中與治療同等重要。相關(guān)研究認(rèn)為[2]，對(duì)腦卒中患者進(jìn)行早期康復(fù)治療，能夠提高生活質(zhì)量，降低致殘率。國內(nèi)外研究顯示[3]，早期康復(fù)對(duì)某些缺血性卒中的并發(fā)癥預(yù)防有益處。但早期康復(fù)與腦卒中合并代謝綜合征（MS）患者并發(fā)癥關(guān)系的報(bào)道不多見，本研究旨在探討腦卒中合并MS患者早期康復(fù)介入與并發(fā)癥的關(guān)系，為腦卒中的預(yù)防及預(yù)后提供參考。

1資料與方法

1.1一般資料 收集天津市黃河醫(yī)院2014年5月～2017年5月收治的急性腦卒中患者310例，根據(jù)是否合并MS分為MS組152例和非MS組158例。MS組中，男79例，女73例，年齡60～76歲，平均年齡（67.91±7.82）歲；腦出血31例，腦梗死121例。非MS組中，男83例，女75例，年齡58～74歲，平均年齡（65.42±7.11）歲；腦出血34例，腦梗死124例。兩組間年齡、性別、病變性質(zhì)等方面差異無統(tǒng)計(jì)學(xué)意義（P>0.05），有可比性。