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目的分析总结缺血性脑卒中患者康复疗效相关影响因素。方法选取该院2015年1月—2017年1月收治的80例缺血性脑卒中患者,在常规治疗基础上给予早期康复治疗,对成功康复和未成功康复患者的临床资料进行分析,筛选出影响患者早期康复疗效的独立危险因素。结果根据患者康复疗效分为成功康复组60例和未成功康复组20例,单因素分析显示受教育程度(≥6年)、年龄(≥60岁)、脑力劳动者、冠心病病史、糖尿病病史、高血压病史、焦虑和抑郁等与康复疗效均具有相关性(P<0.05)。多因素分析显示成功康复的保护因素为受教育程度(≥6年)和脑力劳动者,成功康复的独立危险因素为焦虑、抑郁和年龄(≥60岁)。结论年龄和情绪状态是影响缺血性脑卒中患者康复疗效的危险因素,临床应有针对性的进行干预,以提高患者康复效果。
Objective To analyze and summarize the influencing factors of rehabilitation efficacy in patients with ischemic stroke. Methods Eighty patients with ischemic stroke admitted from January 2015 to January 2017 in our hospital were enrolled in this study. Early rehabilitation was given on the basis of routine treatment. The clinical data of patients who were successfully and unsuccessfully recovered were screened out Independent risk factors influencing early rehabilitation of patients. Results According to the patients’ rehabilitation efficacy, 60 cases were divided into successful rehabilitation group and 20 cases unsuccessful rehabilitation group. Univariate analysis showed that education level (≥6 years), age (≥60 years), mental workers, history of coronary heart disease, history of diabetes , History of hypertension, anxiety and depression were all correlated with rehabilitation efficacy (P <0.05). Multivariate analysis showed that the protective factors of successful rehabilitation were education level (≥ 6 years) and mental workers. The independent risk factors for successful rehabilitation were anxiety, depression and age (≥60 years). Conclusion Age and emotional status are the risk factors affecting the rehabilitation of patients with ischemic stroke. Clinical interventions should be targeted to improve the rehabilitation effect of patients.