文章摘要
穆景颂,倪朝民,陈进,刘孟,范文祥,张金龙.脑梗死患者日常生活活动能力影响因素的分析[J].中国康复,2014,29(1):12-14
脑梗死患者日常生活活动能力影响因素的分析
Factors influencing ADL of patients with cerebral infarction
  
DOI:
中文关键词: 脑梗死  日常生活活动能力  康复  影响因素
英文关键词: cerebral infarction  activities of daily living  rehabilitation  influencing factors
基金项目:国家“十二五”科技支撑课题(2011BAI08B11)
作者单位
穆景颂 安徽省立医院康复医学科合肥 230001 
倪朝民 安徽省立医院康复医学科合肥 230001 
陈进 安徽省立医院康复医学科合肥 230001 
刘孟 安徽省立医院康复医学科合肥 230001 
范文祥 安徽省立医院康复医学科合肥 230001 
张金龙 安徽省立医院康复医学科合肥 230001 
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中文摘要:
  目的:探讨影响脑梗死患者日常生活活动能力(ADL)的因素。方法:收集64例脑梗死患者,选择可能影响其入院时ADL的因素,以Barthel指数为标准,采用独立样本资料的t检验、 Pearson相关、Spearman相关进行回顾性分析。结果:年龄、瘫痪侧别、纤维蛋白原、吞咽功能分级、RLA认知功能分级、感觉障碍、二便障碍与患者入院时Barthel指数密切相关(P<0.01,0.05)。结论:在临床工作中应积极改善脑梗死患者吞咽功能、认知功能、肢体感觉功能、二便控制能力,并控制血纤维蛋白原水平,注意年龄和瘫痪侧别对ADL的影响,以更好地改善患者日常生活自理能力。
英文摘要:
  Objective:To explore the correlative factors influencing activities of daily living (ADL) of patients with cerebral infarction.Methods:All 64 cases of cerebral infarction were chosen and the factors probably affecting ADL at the admission were selected.By using Barthel index as the standard, statistical analysis was performed.Results:Age,paralysis side,fibrinogen,swallowing function scale,RLA cognitive function scale,sensory disturbances,feces and urine dysfunction were closely related to Barthel index at the admission (P<0.01,0.05).Conclusion:In clinical practice,we should actively improve swallowing function,cognitive function,sensory function and excretion control capability,and control fibrinogen levels.The attention should be paid to the effects of age and paralyzed side on ADL.
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