Delva Iryna I, Lytvynenko Nataliya V, Delva Mykhaylo Y
High State Educational Establishment Of Ukraine "Ukrainian Medical Stomatological Academy", Poltava, Ukraine.
Wiad Lek. 2017;70(1):43-46.
Post-stroke fatigue (PSF) is a common stroke complication with long-term negative consequences.
Assess the qualitative and quantitative PSF characteristics during 3 month post-stroke period.
There were examined 141 patients with acute ischemic or hemorrhagic strokes at hospital stay, in 1, 2 and 3 months after stroke. PSF was measured by fatigue assessment scale (FAS), multidimensional fatigue inventory-20 (MFI-20) and fatigue severity scale (FSS).
116 (82.3%) patients had ischemic strokes, 25 (17.7%) had hemorrhagic strokes. According to FAS and MFI-20 "global fatigue" sub-scale, PSF was present, respectively, in 22.0% and 25.5% cases at hospital stay, in 38.3% and 35.5% cases in 3 month after stroke. The growing prevalence of PSF was based on significantly increasing the rates of PSD physical domain (from 28.4% to 41.1%) and the rates of PSF mental domain (from 19.1% to 31.9%). On the other hand, the rates of PSF activity-related component had been significantly reduced from 36.2% to 17.0% within observation period. Moreover, according to MFI-20, it had been revealed significant increasing of PSF intensities in global, physical and mental domains during first 3 post-stroke months. According to FSS value ranks, proportions of patients with "no PSF" had been decreased in 1.5 times due to simultaneously rising rates of "moderate" as well as "severe" PSF impacts on daily life.
The PSF spreading is significantly increased during the first 3 post-stroke months due to increasing of rates and intensities of physical and mental PSF domains.
中风后疲劳（PSF）是一种常见的中风并发症，会产生长期负面影响。
评估中风后3个月内PSF的定性和定量特征。
对141例急性缺血性或出血性中风患者在住院期间、中风后1个月、2个月和3个月进行检查。通过疲劳评估量表（FAS）、多维疲劳量表-20（MFI-20）和疲劳严重程度量表（FSS）测量PSF。
116例（82.3%）患者为缺血性中风，25例（17.7%）为出血性中风。根据FAS和MFI-20的“整体疲劳”子量表，住院期间分别有22.0%和25.5%的病例存在PSF，中风后3个月分别有38.3%和35.5%的病例存在PSF。PSF患病率的增加是基于PSD身体领域的比率（从28.4%显著增加到41.1%）和PSF精神领域的比率（从19.1%增加到31.9%）。另一方面，在观察期内，与PSF活动相关的成分比率从36.2%显著降低到17.0%。此外，根据MFI-20，在中风后的前3个月，整体、身体和精神领域的PSF强度显著增加。根据FSS值等级，由于“中度”和“重度”PSF对日常生活影响的比率同时上升，“无PSF”患者的比例下降了1.5倍。
由于身体和精神PSF领域的比率和强度增加，中风后前3个月PSF的传播显著增加。
