Wade D T, Hewer R L
Acta Neurol Scand. 1987 Jul;76(1):50-4. doi: 10.1111/j.1600-0404.1987.tb03543.x.
Data relating to motor loss and swallowing difficulties in a community sample of 976 patients who suffered an acute stroke have been analysed. About 17% of patients seen within one week had no paralysis; at 6 months 48% of survivors had no paralysis and 9% had severe paralysis. The Motricity Index used to study motor loss related to functional loss and walking ability; it seems to be a simple valid measure of motor loss. Severe paralysis was associated with a high fatality rate, and only 6%-10% of survivors of an initially severe paralysis made a full recovery by 6 months. If severe persisted at 3 weeks, full recovery was not observed. Loss of sitting balance was associated with a poor outcome. Of conscious patients seen within one week, 14% choked on attempting to swallow and a further 28% had abnormal swallowing: this 42% of patients had a high fatality rate.
对976例急性中风患者的社区样本中与运动功能丧失和吞咽困难相关的数据进行了分析。在一周内就诊的患者中，约17%没有瘫痪；在6个月时，48%的幸存者没有瘫痪，9%有严重瘫痪。运动能力指数用于研究与功能丧失和步行能力相关的运动功能丧失；它似乎是一种简单有效的运动功能丧失测量方法。严重瘫痪与高死亡率相关，最初严重瘫痪的幸存者中只有6%-10%在6个月时完全康复。如果在3周时仍存在严重瘫痪，则未观察到完全康复。坐位平衡丧失与不良预后相关。在一周内就诊的有意识患者中，14%在试图吞咽时窒息，另有28%有吞咽异常：这42%的患者死亡率很高。
