卒中后痉挛危险因素的回顾性研究:病例对照研究OA
A Retrospective Study on Risk Factors of Post-Stroke Spasticity:A Case-Control Study
目的:探讨卒中后痉挛(Post-stroke spasticity,PSS)发病的相关危险因素.方法: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评分(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.
Objective:To explore the related risk factors for the onset of post-stroke spasticity(PSS).Methods:Medical records of stroke patients hospitalized in the Rehabilitation Center of the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from April 1,2022,to December 31,2023,were enrolled.Patients were divided into the PSS group and the non-PSS(NPSS)group based on the presence or absence of PSS.Univariate and multivariate logistic analyses were used to analyze potential risk factors.Results:Multivariate logistic regression analysis revealed six risk factors for the occurrence of PSS,including a disease course longer than 2 weeks,right cerebral hemisphere damage,higher NIHSS scores(ranging from 5 to 20),and lower MBI scores(ranging from 41 to 59).In contrast,older age at stroke onset and high triglyceride levels were found to reduce the incidence of PSS.Conclusion:This study identified a total of six risk factors for PSS.
陈欲翔;王猛;张军风;范诗宇;于涛
天津中医药大学第一附属医院 天津 300000||国家中医针灸临床医学研究中心 天津 300000天津中医药大学第一附属医院 天津 300000||国家中医针灸临床医学研究中心 天津 300000天津中医药大学第一附属医院 天津 300000||国家中医针灸临床医学研究中心 天津 300000天津中医药大学第一附属医院 天津 300000||国家中医针灸临床医学研究中心 天津 300000天津中医药大学第一附属医院 天津 300000||国家中医针灸临床医学研究中心 天津 300000||天津市西青区中医医院 天津 300000
医药卫生
脑卒中卒中后痉挛危险因素
strokepost-stroke spasticrisk factors
《神经损伤与功能重建》 2026 (8)
445-449,456,6
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