Schepers Vera P M, Ketelaar Marjolijn, Visser-Meily Anne J M, de Groot Vincent, Twisk Jos W R, Lindeman Eline
Center of Excellence for Rehabilitation Medicine Utrecht, Rehabilitation Center De Hoogstraat, Rembrandtkade 10, Utrecht, The Netherlands.
J Rehabil Med. 2008 Jun;40(6):487-9. doi: 10.2340/16501977-0198.
To determine whether there is a difference between patients with a cerebral infarction and those with an intracerebral haemorrhage with respect to the development of independence in activities of daily living over the first year post-stroke.
Patients after first-ever stroke who were admitted to an inpatient rehabilitation programme were included. The study had a longitudinal design and measurements took place at admission, 8, 10, 12, 26 and 52 weeks post-stroke. The relationship between the development over time of activities of daily living independence, measured by the Barthel Index, and type of stroke was analysed using Generalized Estimating Equations.
A total of 229 patients with cerebral infarction and 45 with intracerebral haemorrhage were included. From 12 to 26 weeks post-stroke, patients with cerebral infarction showed a significantly faster recovery. The time window for recovery was more restricted for patients with intracerebral haemorrhage; a statistically significant increase in activities of daily living was found until 10 weeks post-stroke in patients with intracerebral haemorrhage, whereas patients with cerebral infarction showed statistically significant recovery until 26 weeks post-stroke.
The differences in activities of daily living recovery between patients with cerebral infarction and those with intracerebral haemorrhage should be taken into consideration in rehabilitation management.
确定脑梗死患者和脑出血患者在卒中后第一年日常生活活动能力独立性发展方面是否存在差异。
纳入首次卒中后入住住院康复项目的患者。该研究采用纵向设计，在卒中后入院时、8周、10周、12周、26周和52周进行测量。使用广义估计方程分析由巴氏指数测量的日常生活活动独立性随时间的发展与卒中类型之间的关系。
共纳入229例脑梗死患者和45例脑出血患者。卒中后12至26周，脑梗死患者恢复明显更快。脑出血患者的恢复时间窗更受限；脑出血患者在卒中后10周前日常生活活动有统计学显著增加，而脑梗死患者在卒中后26周前有统计学显著恢复。
在康复管理中应考虑脑梗死患者和脑出血患者在日常生活活动恢复方面的差异。
