王岳,覃宏伟,周冬亮,王建民,徐瑛,于岚,关颖

• 1:华山医院宝山分院神经内科

摘要(Abstract)：

目的探讨急性脑梗死患者手肌张力增高与肌力、时间的相关性。方法连续收集2012-10-2014-03在我院宝山分院神经内科住院且发病时间在7d内的急性脑梗死患者78例为研究对象。采用改良的Ashworth量表(modified ashworth scale,MAS)评估瘫痪侧手的肌张力,采用Brunnstrom分级法评估手的肌力。所有患者均在入院时、3个月时由同一个人评估患者的肌张力、肌力。比较3个月内肌张力、肌力的构成比是否存在差异,并采用多分类的Logistic回归分析评估肌张力与肌力、时间的相关性。结果 78例患者入院、3个月后手肌张力的构成比无显著性改变(χ~2=1.758,P=0.631),肌力的构成比有显著性差异(χ~2=16.837,P=0.003)。多分类的Logistic回归分析(似然比检验)显示,肌张力与肌力密切相关(χ~2=80.472,P<0.001),与时间无密切相关性(χ~2=64.492,P=0.090)。结论急性脑梗死前3个月肌张力无明显改善,肌张力与肌力显著相关。

关键词(KeyWords)： 肌张力增高;肌力;脑梗死

Abstract:

Keywords:

基金项目(Foundation): 宝山区卫生青年医学人才培养计划资助,项目编号:BSWSYQ-2014-A07

作者(Author): 王岳,覃宏伟,周冬亮,王建民,徐瑛,于岚,关颖

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