Napon C, Tougma L, Kaboré R, Kaboré J
CHU Yalgao-Ouédraogo, UFR sciences de la santé université de Ouagadougou, 01 BP, 3801 Ouagadougou, Burkina Faso.
Med Sante Trop. 2013 Jul-Sep;23(3):320-3. doi: 10.1684/mst.2013.0232.
Stroke is a common, severe, and disabling condition that is recognized as a major public health problem. Our goal was to study the clinical features and prognosis of motor deficits in stroke patients hospitalized in the neurology department of the Yalgado-Oeudraogo University Hospital in Burkina Faso. This cross-sectional study took place from March 1 through September 30, 2012. The study included all patients with motor disabilities following a CT-confirmed stroke that had occurred within the previous month. Patients were reviewed at one month (M1) and three months (M3) to assess their current treatment and their autonomy, by the Barthel Index. During the study period, 59 patients were hospitalized for stroke, 56 with motor disabilities for a 95% prevalence of stroke with motor deficit. Their mean age was 57.8 ± 17.7 years (range: 20 to 84 years), and the sex-ratio of 1.6 (male/female). Overall, 61% of the strokes were ischemic and 39% hemorrhagic, with an equal distribution of right and left hemiplegia (46.4% each) and 7% of the patients showing bilateral involvement. The mortality rate before M1 was 29% and before M3, 40%. On admission, 4% of patients had a Barthel Index greater than 60, at M1 35%, and at M3, 60%. Only 51% of patients received physical therapy. Characteristics significantly associated with functional recovery were age younger than 65 years (p = 0.0026), sphincter disorders at M1 (p = 0.002), hemorrhagic stroke (compared to ischemic) (p = 0.0038), functional rehabilitation (p = 0.0012), and right (versus left) hemisphere damage (p = 0.010).
中风是一种常见、严重且致残的疾病，被视为一个主要的公共卫生问题。我们的目标是研究在布基纳法索亚尔加杜 - 欧德拉奥戈大学医院神经科住院的中风患者运动功能缺损的临床特征和预后。这项横断面研究于2012年3月1日至9月30日进行。该研究纳入了所有在前一个月内发生经CT确诊中风且有运动功能障碍的患者。在1个月（M1）和3个月（M3）时对患者进行复查，通过巴氏指数评估他们当前的治疗情况和自理能力。在研究期间，59例患者因中风住院，其中56例有运动功能障碍，中风伴运动功能缺损的患病率为95%。他们的平均年龄为57.8±17.7岁（范围：20至84岁），男女比例为1.6（男/女）。总体而言，61%的中风为缺血性，39%为出血性，左右偏瘫分布相等（各占46.4%），7%的患者表现为双侧受累。M1前的死亡率为29%，M3前为40%。入院时，4%的患者巴氏指数大于60，M1时为35%，M3时为60%。只有51%的患者接受了物理治疗。与功能恢复显著相关的特征包括年龄小于65岁（p = 0.0026）、M1时存在括约肌功能障碍（p = 0.002）、出血性中风（与缺血性相比）（p = 0.0038）、功能康复（p = 0.0012）以及右侧（相对于左侧）半球损伤（p = 0.010）。
