脑卒中患者康复期间跌倒的特点及危险因素分析

被引：15

作者：

邓晓清

方芳

蒋红焱

张立湘

向平

王晓磊

黄丽华

曾宪国

机构：

[1] 南宁市第八人民医院神经内科

来源：

中华脑科疾病与康复杂志(电子版) | 2014年 / 4卷 / 02期

关键词：

卒中; 康复; 意外跌倒; 危险因素;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

100204 [神经病学];

摘要：

目的探讨脑卒中患者康复期间跌倒的特点及危险因素。方法对95例脑卒中患者康复期间根据是否跌倒分为跌倒组及非跌倒组,分析跌倒的特点,对可能影响卒中跌倒的危险因素进行多因素Logistic回归分析。结果 95例中跌倒者21例(22.1%)。首次跌倒时间:入院1个月14例(66.7%),12个月5例(23.8%),2个月~出院2例(9.5%)。白天跌倒14例(66.7%),夜间跌倒7例(33.3%)。跌倒地点:床边10例(47.6%),走廊7例(33.3%),卫生间4例(19.0%)。反复跌倒5例(23.8%)。严重程度:无异常2例(9.5%),软组织损伤16例(76.2%),骨折3例(14.3%)。跌倒组Barthel生活指数(BI)评分在入院及出院均低于非跌倒组(U=11.224、12.344,均P<0.05)。单因素分析显示年龄、既往跌倒史、肢体偏瘫、意识障碍、谵妄、视力损害、感觉障碍、失用、单侧空间忽略、小便障碍、大便障碍、使用精神药物、独立行走、长谷川痴呆量表(HDS-R)评分下降以及住院时间长为跌倒的危险因素。多因素Logistic回归分析示既往跌倒史(OR=1.85,95%CI:1.262.81)、偏瘫(右侧OR=2.37,95%CI:1.624.59;左侧OR=2.47,95%CI:1.464.78)、视力损害(OR=2.31,95%CI:1.315.02)、感觉障碍(OR=2.38,95%CI:1.424.68)、单侧空间忽略(OR=3.44,95%CI:2.825.38)、使用精神药物(OR=1.36,95%CI:1.011.72)、独立行走(OR=1.36,95%CI:1.622.36)以及HDS-R评分低(OR=3.02,95%CI:1.087.47)为跌倒的独立危险因素。结论跌倒在脑卒中患者康复期间常见,既往跌倒史、偏瘫、视力损害、感觉障碍、单侧空间忽略、使用精神药物、独立行走以及HDS-R评分低为跌倒的独立危险因素。

引用

页码：89 / 94

页数：6

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