肌肉软弱与中风患者的功能结果比肉症或肌肉衰竭更强烈相关:一项观察性研究
Masafumi Nozoe1, Hiroki Kubo2, Miho Yamamoto3
1Department of Physical Therapy, Faculty of Rehabilitation, Kansai Medical University, 18-89 Uyamahigashicho, Hirakata, Osaka, Japan. masafumi.nozoe@gmail.com.
Aging clinical and experimental research
|January 23, 2024
概括
脑卒中后的肉症和肌肉衰弱预示着功能不良的结果. 肌肉衰弱显示出与中风3个月后的结果的最强相关性.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
背景情况:
- 与中风相关的肉是关键的预后因素和干预目标.
- 改善中风幸存者的结果通常涉及解决肌肉健康问题.
研究的目的:
- 为了调查萨科佩尼亚指标与功能结果之间的关联,中风后3个月.
- 为了确定与中风后恢复相关的肌肉损伤的特定标志物.
主要方法:
- 对247名急性中风患者进行前性观察性研究.
- 评估肌肉强度,质量和小腿周长,使用2019年亚洲肉类症工作组的标准.
- 在3个月后使用修改的兰金尺度 (mRS) 评估功能结果.
主要成果:
- 麻症的患病率为28%.
- 麻症,肌肉衰弱和低肌肉质量独立地与功能不良的结果相关 (mRS ≥3).
- 肌肉疲软显示出与不良结果的最强相关性.
结论:
- 麻症,肌肉衰弱和肌肉质量低是中风后3个月功能结果的重要预测因素.
- 肌肉软弱是中风后功能恢复较差的一个特别强烈的指标.
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