脑卒中患者活动水平和风险因素的相关性分析:根据朗希尺度,心脏功能变化
Yao Wang1, Huilan Lv1, Mingjun He1
1Department of Rehabilitation Medicine, Dapeng New District Nan'ao People's Hospital, Shenzhen, 518121, People's Republic of China.
Journal of multidisciplinary healthcare
|October 21, 2024
概括
通过朗希尺度测量中风患者的体力活动水平,与心脏功能和N-终端前脑性 (NT-proBNP) 水平相关. 这种尺度有助于识别心脏功能障碍风险的中风患者.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 脑卒中显著影响患者的运动和心脏功能.
- 评估身体活动水平对于了解中风恢复和预后至关重要.
- 心脏功能障碍是中风幸存者的常见并发症.
研究的目的:
- 为了研究使用龙石尺度评估的身体活动水平与中风患者的心脏功能参数之间的关系.
- 在中风幸存者中探索体力活动和N-终端前脑性尿素 (NT-proBNP) 水平之间的相关性.
- 为了确定与不同程度的体力活动相关的中风风险因素.
主要方法:
- 123名中风患者的队列根据朗希量表被分为四组:卧床,家庭,社区和健康.
- 对所有参与者系统地收集了临床数据.
- 血液动力学评估使用阻抗心脏图进行,以评估心脏功能.
主要成果:
- 与健康组相比,在家庭和社区组中观察到心脏输出时间指数 (CTI) 和估计射出分数 (EF est) 的减少.
- 卧床组显示明显较低的中风量 (SV),心脏输出 (CO),CTI,左心脏工作指数 (LCWi) 和EF est,以及较高的全身血管阻力指数 (SVRI) 和NT-proBNP水平.
- 朗希尺度分级与SV正相关,NT-proBNP,EF和认知功能障碍与患者活动水平相关.
结论:
- 在中风患者中,龙石尺度有效与心脏功能指标相关联,包括NT-proBNP和EF.
- 这种尺度可以帮助识别心脏功能障碍风险较高的中风患者.
- 认知功能障碍成为中风幸存者身体活动限制的重要决定因素.
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