中国卒中杂志2016，Vol.11Issue(6)：443-448,6.DOI:10.3969/j.issn.1673-5765.2016.06.005
缺血性卒中后痉挛发生情况及预测因素分析
Prevalence and Predictive Factors Analysis of Spasticity after Ischemic Stroke
摘要
Abstract
Objective To investigate the prevalence and predictive factors of spasticity six months after onset of ischemic stroke in China. <br> Methods All patients with acute ischemic stroke hospitalized in Affiliated Tongji Hospital of Tongji University between April 1st and July 31st 2013 were followed-up for six months after newly-onset of stroke. Spasticity was evaluated with the modiifed Ashworth Scale (MAS) by the same person. <br> Results A total of 185 patients were recruited and 114 patients were followed-up, among whom, 32 patients showed spasticity. Among these 32 patients, 22 cases had both upper and lower limb spasm. Spasm appeared most frequently at the elbow (26 cases), then at the ankle (22 cases), the ifnger (20 cases), the wrist (19 cases), the knee (18 cases), the shoulder (15 cases) and the hip (7 cases). The NIHSS score on admission in the patients with spasticity (4.64, 0~23) was higher than the patients without spasticity (2.41, 0~7, P=0.001). The paralysis part of NIHSS score in the patients with spasticity (3, 2~6) was higher than the patients without spasticity (1, 0~2, P<0.001). The Barthel Index (BI) at discharge in the patients with spasticity (71.2, 5~100) was lower than the patients without spasticity (91.7, 45~100, P<0.001). Multi-factor logistic regression analysis showed that the paralysis part of NIHSS score and the BI at discharge was related to the presence of spasticity. <br> Conclusion Post-stroke spasticity often occurs in both the upper and the lower limb. The upper limb is more frequently involved than the lower limb, while the elbow is the most frequently involved joint. The paralysis part of NIHSS score and the BI could be used as a predictive factor of post-stroke spasm.关键词
缺血性卒中/痉挛/分布情况/危险因素Key words
Ischemic stroke/Spasticity/Epidemiology/Predictive factor引用本文复制引用
李宁,滕飞,陈玉辉,聂志余,胡斌,陈晓宇,王戈鹰,靳令经..缺血性卒中后痉挛发生情况及预测因素分析[J].中国卒中杂志,2016,11(6):443-448,6.基金项目
普陀区高层次人才科研创新项目资助 （）
