本文選題：FIM + 腦卒中��； 參考：《河北聯(lián)合大學(xué)》2014年碩士論文

【摘要】：目的通過對初發(fā)腦卒中偏癱患者的隨訪，測評患者近期功能改善情況及FIM量表與BI、MMSE、FMA量表評分的相關(guān)性，探討影響患者發(fā)病一個(gè)月、三個(gè)月時(shí)FIM評分改變的因素，了解FIM量表在初發(fā)腦卒中偏癱患者近期療效評價(jià)中的應(yīng)用。 方法本研究采用前瞻性研究的方法，選取承德市中心醫(yī)院神經(jīng)內(nèi)科2012年10月～2013年9月住院的初發(fā)腦卒中偏癱患者為研究對象，收集患者的一般人口學(xué)資料、疾病資料，在患者入院72小時(shí)內(nèi)、發(fā)病一個(gè)月、三個(gè)月時(shí)分別對其進(jìn)行FIM、BI、MMSE、FMA量表評分，分析FIM量表與BI、MMSE、FMA量表評分的相關(guān)性，分析患者的功能恢復(fù)情況，分析影響患者發(fā)病一個(gè)月、三個(gè)月時(shí)FIM評分改變的因素。 結(jié)果1患者發(fā)病一個(gè)月、發(fā)病三個(gè)月較入院時(shí)各量表評分均有不同程度的提高，而且發(fā)病三個(gè)月比發(fā)病一個(gè)月時(shí)提高幅度大。2入院時(shí)、發(fā)病一個(gè)月、發(fā)病三個(gè)月時(shí)，F(xiàn)IM運(yùn)動(dòng)評分與BI評分顯著相關(guān)，相關(guān)系數(shù)介于0.799～0.897之間；FIM認(rèn)知評分與MMSE評分顯著相關(guān)，相關(guān)系數(shù)介于0.590～0.786之間。FIM評分改變值與BI改變值、MMSE改變值顯著相關(guān)，相關(guān)系數(shù)均大于0.506（P＜0.05）。3對影響FIM運(yùn)動(dòng)評分改變的因素進(jìn)行Logistic回歸分析，結(jié)果顯示文化程度、高血壓史、年齡影響FIM運(yùn)動(dòng)評分的提高，年齡＜60歲、無高血壓史、小學(xué)及以上文化程度的患者FIM運(yùn)動(dòng)評分提高幅度大。4對影響FIM認(rèn)知評分改變的因素進(jìn)行Logistic回歸分析，結(jié)果顯示卒中類型、性別、就診時(shí)間、偏癱側(cè)影響患者FIM認(rèn)知評分的提高，腦梗死、女性、偏癱右側(cè)、就診時(shí)間＜13小時(shí)的患者FIM認(rèn)知評分提高幅度大。 結(jié)論1FIM量表與BI、MMSE具有很好的相關(guān)性，是一項(xiàng)有效的評測工具。2患者發(fā)病一個(gè)月、發(fā)病三個(gè)月時(shí)日常生活活動(dòng)能力、運(yùn)動(dòng)能力、認(rèn)知能力均有不同程度的提高，發(fā)病三個(gè)月比發(fā)病一個(gè)月時(shí)提高幅度大。3患者的文化程度、高血壓史、年齡影響FIM運(yùn)動(dòng)評分的提高，年齡＜60歲、無高血壓史、小學(xué)及以上文化程度的患者FIM運(yùn)動(dòng)評分提高幅度大；患者的卒中類型、性別、就診時(shí)間、偏癱側(cè)影響FIM認(rèn)知評分的提高，腦梗死、患者女性、偏癱右側(cè)、就診時(shí)間＜13小時(shí)的患者FIM認(rèn)知評分提高幅度大。
[Abstract]:Objective to evaluate the recent function improvement of patients with hemiplegic stroke in primary cerebral apoplexy and the correlation between FIM scale and BI, MMSE, FMA scale, and to explore the factors affecting the change of FIM score at one month and three months, and to understand the application of the FIM scale in the short-term efficacy evaluation of patients with primary stroke hemiplegia.
Methods a prospective study was used in this study to select the primary stroke hemiplegia patients in the Department of Neurology of Chengde Central Hospital from October 2012 to September 2013 as the research object. The general demographic data of the patients were collected and the disease data were collected. Within 72 hours of hospitalization, the patients were treated with FIM, BI, MMSE, and F respectively. The MA scale score was used to analyze the correlation between the FIM scale and the BI, MMSE, and FMA scales. The functional recovery of the patients was analyzed, and the factors affecting the change of the FIM score at one month and three months were analyzed.
Results 1 patients had one month of onset and three months of onset were higher than those at admission, and the incidence of FIM movement was significantly correlated with BI score at one month and three months after the onset of the onset of.2. The correlation coefficient was between 0.799 and 0.897; FIM cognitive score. The correlation coefficient was significantly correlated with the MMSE score, the correlation coefficient was between 0.590 and 0.786, the change value of.FIM score and the BI change value, the change value of MMSE were significantly correlated, the correlation coefficient was greater than 0.506 (P < 0.05).3 for the Logistic regression analysis on the factors affecting the change of FIM movement score. The results showed that the degree of literature, the history of hypertension, and the age affecting the FIM exercise score were raised. High, age < 60 years of age, no history of hypertension, the FIM exercise score of the patients with primary and above education was improved by the Logistic regression analysis of the factors affecting the FIM cognitive score changes. The results showed that the type of stroke, sex, the time of the treatment, the improvement of the FIM recognition score in the hemiplegic side, the cerebral infarction, the women, the right side of hemiplegia, and the medical treatment. The FIM cognitive score increased significantly in patients less than 13 hours.
Conclusion the 1FIM scale has a good correlation with BI and MMSE. It is an effective evaluation tool for.2 patients for one month. The daily living ability, exercise ability and cognitive ability are improved in different degrees in three months, and the incidence of hypertension, hypertension, age, and the history of hypertension, the history of hypertension and age shadow are increased in three months after the onset of the disease. The improvement of FIM exercise score, age < 60 years, no history of hypertension, higher FIM exercise score in patients with primary and above education, stroke type, sex, time of treatment, improvement of FIM cognitive score in hemiplegic side, cerebral infarction, female, hemiplegia on the right, FIM cognitive score for patients with time for consultation less than 13 hours A big margin.

【學(xué)位授予單位】：河北聯(lián)合大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R743.3

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本文編號：1862017