摘要
Abstract
Objective To investigate the relationship between reflex sympathetic dystrophy (RSD) and the clinical characteristics of patients with stroke. Methods Totally 127 cases of acute stroke, who were admitted at the Department of Neurology, Neurosurgery and Physiotherapy, the Third People's Hospital of Chengdu during April 2011 and January 2013, were consecutively recorded from admission to 3 months after hospitalization. The subjects were finally divided into 2 groups:one is the non-RSD group which included patients without RSD after stroke, and the other is the RSD group which included patients with RSD after stroke. The relationship between RSD and clinical characteristics of patients with stroke was evaluated by univariate analysis and multivariate COX regression analysis. Results No signiifcant difference was found between non-RSD group and RSD group regarding to age, gender, stroke type, past history, sensory disability and anxiety. RSD after stroke was related to complications, National Institutes of Health Stroke Scale (NIHSS) score, depression, Brunnstorm Improvement Stages, muscular tension and Barthel index (BI) by univariate analysis. Complication score (harzard ratio [HR] 1.018, 95% confidence interval [CI] 1.006~1.163), NIHSS score (HR 1.157, 95%CI 1.062~1.261), depression score (HR 4.975, 95%CI 1.839~13.460), shoulder subluxation (HR 4.627, 95%CI 2.383~8.984) and Brunnstorm Improvement Stages (HR 0.577,95%CI 0.358~0.930) were the independent risk factors of RSD after stroke. Conclusion Complication score, NIHSS score, depression, shoulder subluxation, and Brunnstorm Improvement Stages were the independent risk factors of RSD after stroke.关键词
卒中/反射性交感神经营养不良/多因素分析/病例对照研究Key words
Stroke/Relfex sympathetic dystrophy/Multiple predictors/Case-control study
