Wade D T, Hewer R L, Wood V A
Arch Phys Med Rehabil. 1984 Sep;65(9):513-6.
This study investigated the importance of the side of weakness and sex of the patient in patient outcome after stroke. It was based upon 162 consecutive acute stroke patients attending a rehabilitation unit. Results suggest that functional recovery was not influenced by the factors investigated, provided that measurements were made at set times poststroke. However, patients with right hemiplegia attended rehabilitation longer so they appeared to have made a better functional recovery when activity of daily living (ADL) ability was measured at discharge. Although right hemiplegia was associated with aphasia and left hemiplegia with spatial disorder and loss of sitting balance, these associations were not strong enough to affect functional recovery. Sex of the patient had no significant effect upon either the frequency of initial deficits or upon outcome, and there was no obvious interaction between the two variables (side and sex) and outcome.
本研究调查了患者的偏瘫侧别及性别对中风后患者预后的重要性。该研究基于162例连续入住康复科的急性中风患者。结果表明，只要在中风后的特定时间进行测量，功能恢复不受所研究因素的影响。然而，右侧偏瘫的患者接受康复治疗的时间更长，因此在出院时测量日常生活活动（ADL）能力时，他们似乎功能恢复得更好。虽然右侧偏瘫与失语症相关，左侧偏瘫与空间障碍及坐位平衡丧失相关，但这些关联不够强，不足以影响功能恢复。患者的性别对初始缺陷的频率或预后均无显著影响，且两个变量（侧别和性别）与预后之间没有明显的相互作用。
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