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| 卒中后痉挛危险因素的回顾性研究：病例对照研究 |
| Retrospective Study on Risk Factors of Post-Stroke Spasticity: A Case-Control Study |
| 投稿时间：2025-05-01 修订日期：2025-05-01 |
| DOI： |
| 中文关键词: 脑卒中 卒中后痉挛状态 危险因素 |
| 英文关键词: Stroke Post-stroke spastic state Risk factors |
| 基金项目: |
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| 摘要点击次数: 67 |
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| 中文摘要: |
| 目的：本研究通过对患者病历资料分析，确定卒中后痉挛（Post-stroke spasticity, PSS）发病的相关危险因素，旨在通过控制危险因素降低PSS的发生率，改善预后，促进康复。
方法：本病例对照研究选择2022年4月1日至 2023年12月31日于天津中医药大学第一附属医院康复中心住院的脑卒中患者病例资料。根据PSS的存在与否，将患者分别分为PSS组和NPSS组。使用单因素和多因素Logistics分析潜在危险因素。
结果：多因素 logistic 回归分析揭示了PSS发生的6个危险因素，包括病程大于2周、右侧脑半球受损、较高NIHSS（5-20分）、较低的MBI（41-59分），而老年卒中、高甘油三酯会降低PSS的发生率。
结论：本研究共确定了6个PSS的危险因素。其中病程为最显著的危险因素，其次是较高NIHSS（5-20分）、较低的MBI（41-59分），右侧脑半球受损最低。而老年卒中、甘油三酯水平降低PSS发生率。其中受损脑半球、甘油三酯水平仍需要进一步研究以及亚组分析。这一发现为降低PSS的发生率和改善患者的生活质量提供了有价值的指导。 |
| 英文摘要: |
| Objective: This study aims to identify the risk factors for post-stroke spasticity (PSS) through analysis of patient medical records, with the goal of reducing the incidence of PSS, improving prognosis, and promoting rehabilitation.
Method: This case-control study selected the clinical data of stroke patients hospitalized in the Rehabilitation Center of the First Affiliated Hospital of Tianjin University of Chinese Medicine from April 1st 2022 to December 31th 2023. The patients were divided into PSS group and NPSS group according to the presence or absence of PSS. Potential risk factors were analyzed using univariate and multivariate logistic regression.
The results: A multivariate logistic regression analysis revealed 6 important risk factors for the occurrence of PSS, including age, disease duration, affected hemisphere of the brain region, NIHSS score, MBI score, triglycerides. |
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