摘要
目的为预测初发老年脑梗死住院患者出院时的自理能力。方法采用回顾性分析的方法对初发脑梗死患者去除入院时能独立步行及死亡的病例，剩余按出院时的生活能否自理而分为自理组和非自理组。对发病时的情况，入院后第1次的各种检查结果及康复治疗等参数进行单因素和多元回归分析。结果单因素分析中，两组间差异有显著性(P< 0.05)；多元回归分析发现8个因素与患者生活自理能力有相关性(P=0.001～0.056)。结论根据发病及入院时的相关参数可以预测出院时的生活自理能力，并为拟定早期康复计划提供客观依据。
Objective In order to predict helf－care ability of gerontal inpatients with first－ever cerebral infarction at discharge,Method 242 patents with primecry ceremc infarction admitted from were analysized retrospectirely cases of first－ever cerebral infarction were retro－ spectively studied.They were divied into two groups:self－care group and non seltcare group.The data about the patients'manifestation at the onset,the first results of laboratory after admission and rehabilitation therapy were analyzed by using single factor test and multiple logistic regression.Result It was found that there was sighnificant different in blood sugar diabetes history history and fixed number of years,consc－ housness,congnitive disorder,urinary incontinence,area of cerebral infarction,and rehabilitation therapy between the two groups(P< 0.05). Multiple logistic regression analysis showed coghitive disorder and rehabilitation therapy were related with the self－cere ability of the patients (P=0.001－0.056).Conclusion It was conluded that self－carc ability of the patients with first－ever cerebral infarction could be pre－ dicted according to patients'information at the onset and admission.
出处
《现代康复》
CSCD
2001年第6期52-53,共2页
Modern Rehabilitation
关键词
脑梗死
生活自理能力
预后
预测
多元同归
老年人
ADL
ccrebral infarction
self－care ability
prognosis prediction
multiple logistic regression
cognition
