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神经物理治疗科中风后患者的描述性分析

Descriptive analysis of post-stroke patients in a neurological physical therapy unit.

作者信息

Paniagua-Monrobel Mercedes, Escobio-Prieto Isabel, Magni Eleonora, Galan-Mercant Alejandro, Lucena-Anton David, Pinero-Pinto Elena, Luque-Moreno Carlos

机构信息

Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain.

Neurological Physiotherapy Unit, Virgen del Rocio University Hospital, Seville, Spain.

出版信息

Front Neurol. 2023 Feb 28;14:1056415. doi: 10.3389/fneur.2023.1056415. eCollection 2023.

Abstract

INTRODUCTION

Physical therapy (PT) is the mainstay treatment in functional recovery after suffering a stroke. It is important in the acute phase of hospitalization after a stroke and later in the ambulatory phase.

PATIENTS AND METHODS

The present study aimed to analyze the data provided by the clinical history (CH) of people with stroke (pwS) who received PT treatment in order to establish a "preferential patient profile" (PPP) that may benefit more from an early PT treatment. This was an observational, descriptive, and cross-sectional study. A total of 137 pwS who had been treated with PT were selected. Information provided age, gender, stroke type and localization, and start and end dates of the different PT treatments. A descriptive analysis of the variables was conducted using absolute frequencies and percentages for the qualitative variables. Student's -test or the Mann-Whitney -test was used to determine the relationship between the time and variables "stroke type," "outpatient," and "occupational therapy." The Kruskal-Wallis -test was applied for the "localization" variable.

RESULTS

Of the entire sample, 57.7% were men, 65% had an ischemic stroke, and 48.9% had a stroke on the left side. The patients with hemorrhagic stroke had an increased number of hospital PT sessions ( = 0.01) and were younger (59.58 years) than patients with ischemic stroke (65.90 years) ( = 0.04).

DISCUSSION AND CONCLUSION

Our results do not show significant differences between the persons < 65 years and the number of outpatient physiotherapy sessions performed, although the resulting values are close to significance. Our results suggest that the PPP is a young person, with a hemorrhagic and left or bilateral stroke.

摘要

引言

物理治疗(PT)是中风后功能恢复的主要治疗方法。它在中风后住院的急性期以及后期的门诊阶段都很重要。

患者与方法

本研究旨在分析接受PT治疗的中风患者(pwS)临床病史(CH)提供的数据,以建立一个可能从早期PT治疗中获益更多的“优先患者概况”(PPP)。这是一项观察性、描述性横断面研究。共选取了137名接受过PT治疗的pwS。提供的信息包括年龄、性别、中风类型和部位,以及不同PT治疗的开始和结束日期。对变量进行描述性分析,定性变量使用绝对频率和百分比。采用学生t检验或曼-惠特尼U检验来确定时间与变量“中风类型”“门诊治疗”和“职业治疗”之间的关系。对“部位”变量应用克鲁斯卡尔-沃利斯H检验。

结果

在整个样本中,57.7%为男性,65%患有缺血性中风,48.9%中风发生在左侧。出血性中风患者的住院PT疗程数增加(P = 0.01),且比缺血性中风患者年轻(59.58岁)(P = 0.04),缺血性中风患者年龄为65.90岁。

讨论与结论

我们的结果显示,65岁以下人群与门诊物理治疗疗程数之间没有显著差异,尽管所得值接近显著水平。我们的结果表明,优先患者概况是年轻人,患有出血性中风且部位在左侧或双侧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bf9/10011182/0bfb296c2e84/fneur-14-1056415-g0001.jpg

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