中国卒中杂志2026，Vol.21Issue(4)：456-462,7.DOI:10.3969/j.issn.1673-5765.2026.04.008
脑梗死患者上肢近端和远端早期运动功能恢复的影响因素分析
Analysis of Influencing Factors for Early Motor Function Recovery of Proximal and Distal Upper Limbs in Patients with Cerebral Infarction
摘要
Abstract
Objective To explore the factors influencing the poor early motor function recovery of proximal and distal upper limbs in patients with cerebral infarction. Methods This study prospectively enrolled patients with acute cerebral infarction accompanied by upper limb dysfunction admitted to the Department of Neurology,the First Affiliated Hospital of Fujian Medical University from November 2023 to December 2024.The Fugl-Meyer motor assessment-upper extremity(FMA-UE)was used to conduct the first and second assessments at 3-7 days and 8-12 days after onset,respectively,with an interval of ≥ 5 days.Relevant demographic and clinical data were collected.Patients were then divided into a poor proximal recovery group(estimated total recovery value of proximal FMA-UE score,△FJ＜2.08)and a good proximal recovery group(△FJ≥2.08),as well as a poor distal recovery group(estimated total recovery value of distal FMA-UE score,△FY＜1.67)and a good distal recovery group(△FY ≥ 1.67)based on the recovery outcome of upper limb motor function.Univariate analysis and multivariate analysis(binary logistic regression analysis)were performed separately for proximal and distal upper limbs to explore the influencing factors of poor early motor function recovery. Results A total of 81 patients with acute cerebral infarction accompanied by upper limb dysfunction were enrolled in this study,including 32 patients in the poor proximal recovery group and 49 in the good proximal recovery group,as well as 44 patients in the poor distal recovery group and 37 in the good distal recovery group.Multivariate analysis revealed that low red blood cell count(OR 0.271,95％CI 0.083-0.877,P=0.029)and low first proximal FMA-UE assessment score(F1J)(OR 0.917,95％CI 0.855-0.984,P=0.016)were independent risk factors for poor early motor function recovery of the proximal upper limb.Proprioceptive dysfunction(OR 8.077,95％CI 1.325-49.250,P=0.024),low red blood cell count(OR 0.187,95％CI 0.039-0.893,P=0.036),low F1J(OR 0.783,95％CI0.687-0.892,P＜0.001),and low first distal FMA-UE assessment score(F1Y)(OR 0.638,95％CI 0.469-0.868,P=0.004)were independent risk factors for poor early motor function recovery of the distal upper limb. Conclusions Red blood cell count and F1J may be independent influencing factors for poor early motor function recovery of the proximal upper limb in patients with cerebral infarction,while proprioceptive dysfunction,red blood cell count,F1J,and F1Y may be independent influencing factors for poor early motor function recovery of the distal upper limb.关键词
脑梗死/运动功能/上肢/危险因素/结局预测Key words
Cerebral infarction/Motor function/Upper limb/Risk factor/Outcome prediction分类
医药卫生引用本文复制引用
叶珊珊,林嘉莉,林嘉滢,钱佳煜,贾杰..脑梗死患者上肢近端和远端早期运动功能恢复的影响因素分析[J].中国卒中杂志,2026,21(4):456-462,7.基金项目
福建省科技创新联合资金资助项目(2021Y9130) （2021Y9130）
