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脑卒中患者偏瘫上肢日常使用量的相关因素分析

何爱群 黎景波 韩诗雨 叶思媚 何茂莉 刘海鸥 董安琴

中国康复2026,Vol.41Issue(3):137-141,5.
中国康复2026,Vol.41Issue(3):137-141,5.DOI:10.3870/zgkf.2026.03.002

脑卒中患者偏瘫上肢日常使用量的相关因素分析

Factors related to daily use of the hemiplegic upper limb after stroke

何爱群 1黎景波 1韩诗雨 2叶思媚 1何茂莉 1刘海鸥 1董安琴2

作者信息

  • 1. 广东省工伤康复医院作业治疗科,广州 510440
  • 2. 郑州大学附属第五医院作业治疗区
  • 折叠

摘要

Abstract

Objective:To explore the factors related to amount of daily use of the hemiplegic upper limb after stroke.Methods:The clinical data of 170 stroke patients from January 2023 to October 2023 were retrospectively analyzed,including age,gender,course of disease,paralyzed side,hemiplegic upper limb motor function(Fugl-Meyer Assessment-Upper Extremity,FMA-UE),hemiplegic upper limb activity function(Functional Test for the Hemiplegic Upper Extremity-Hong Kong,FTHUE-HK),Motor Activity Log-Amount of Use(MAL-AOU)and Motor Activity Log-Quality of Movement(MAL-QOM),Modified Barthel Index(MBI),Stroke Impact Scale-ADLs(SIS-ADLs)and Stroke Impact Scale-Hand(SIS-Hand).The MAL-AOU was used as the dependent varia-ble,the relevant influencing factors of daily use of hemiplegic upper limb in stroke patients were filtered out by uni-variate analysis and linear stepwise regression analysis.Results:The result of univariate analysis showed that age,gender,course of disease,FMA-UE,FTHUE-HK,MAL-QOM,MBI,SIS-ADLs and SIS-Hand were correlated with the daily use of hemiplegic upper limb in stroke patients(P<0.05).Linear stepwise regression analysis showed that MAL-QOM was associated with the amount of daily use of the hemiplegic upper limb in stroke patients(P<0.05).Conclusion:Age,gender,course of disease,FMA-UE,FTHUE-HK,MAL-QOM,MBI,SIS-Hand and SIS-ADLs are factors associated with the daily use of hemiplegic upper limbs in stroke patients.Among these variables,MAL-QOM has been identified as an independent factor influencing the daily use of hemiplegic upper limbs in this population.

关键词

脑卒中/偏瘫上肢/日常使用/相关因素

Key words

stroke/hemiplegic upper limb/daily use/related factors

分类

医药卫生

引用本文复制引用

何爱群,黎景波,韩诗雨,叶思媚,何茂莉,刘海鸥,董安琴..脑卒中患者偏瘫上肢日常使用量的相关因素分析[J].中国康复,2026,41(3):137-141,5.

基金项目

广东省医学科学技术研究基金项目(NO.B2024146) (NO.B2024146)

中国康复

1001-2001

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