| 黄馨莹,肖燕平,温优良,陈小波.脑卒中肩手综合征患者ADL评分与血脂水平的相关性分析[J].实用中西医结合临床,2023,23(6): |
| 脑卒中肩手综合征患者ADL评分与血脂水平的相关性分析 |
| Analysis of correlation between ADL score and blood lipid level in patients with shoulder-hand syndrome after stroke |
| 投稿时间：2023-02-12 修订日期：2023-04-13 |
| DOI： |
| 中文关键词: 脑卒中 肩手综合征 ADL评分 血脂 |
| 英文关键词: cerebral apoplexy shoulder-hand syndrome activity of daily living (ADL) score blood lipid |
| 基金项目:(立项编号：2019A082) |
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| 摘要点击次数: 394 |
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| 中文摘要: |
| 目的：观察脑卒中后肩手综合征（Shoulder-Hand Syndrome, SHS）患者日常生活活动能力（Activity of Daily Living, ADL）评分与其血脂水平的相关性，分析探讨其内在联系。方法：回顾性分析2016年8月至2018年2月医院收治的脑卒中肩手综合征患者116例，在上述患者接受规范降脂治疗6个月后检测总胆固醇（TC）、三酰甘油（TG）、高密度脂蛋白（HDL）、低密度脂蛋白（LDL）和极低密度脂蛋白（VLDL）水平，将ADL评分与TG、TC、HDL、LDL及VLDL水平进行关联分析。并按病情、性别、年龄对等原则，设立SHS研究组和无SHS对照组。比较两组患者ADL评分与上述指标差异。结果：出院后6个月SHS研究组患者ADL评分显著低于无SHS对照组（P＜0.05）；SHS研究组与无SHS对照组比较TC、HDL、LDL水平，差异无统计学意义（P＞0.05）；两组TG和VLDL水平比较，差异有统计学意义（P＜0.05）。ADL评分多因素Logistic回归分析显示，常数项、TG及VLDL水平进入模型，表明ADL评分与TG、VLDL水平具有负相关性。结论：ADL评分低与脑卒中肩手综合征患者血脂水平控制不理想有密切关系，通过改善患者日常生活活动能力，有利于调节患者的血脂水平。 |
| 英文摘要: |
| Abstract: Objective: To observe the correlation between the Activity of Daily Living (ADL) score and blood lipid level in cerebral apoplexy patients with Shoulder-Hand Syndrome (SHS), to analyze and explore its internal relationship. Methods: 116 patients with shoulder hand syndrome after stroke admitted to the hospital from August 2016 to February 2018 were retrospectively analyzed. The levels of total cholesterol (TC), triglyceride (TG), high-density lipoprotein (HDL), low density lipoprotein (LDL) and very low density lipoprotein (VLDL) were measured six months after the above patients received standard lipid-lowering treatment. The correlation between ADL score and the levels of TG, TC, HDL, LDL and VLDL was analyzed. According to the principle of equal condition, gender and age, SHS study group and non-SHS control group were established. Compared the differences in ADL scores and the above indicators between two groups. Result: Six months after discharge, the ADL scores of the SHS study group was significantly lower than that of the non-SHS control group (P＜0.05). There was no statistically significant difference in TC, HDL, and LDL levels between the SHS study group and the non-SHS control group (P＞0.05). There were statistically significant differences in TG and VLDL levels between the two groups (P＜0.05). Multivariate logistic regression analysis of ADL scores showed that the constant iterms, TG, and VLDL levels entered the model, indicated that ADL scores were negative correlated with TG and VLDL levels. Conclusion: There is a close relationship between low ADL score and poor control of blood lipid levels in patients with shoulder-hand syndrome after stroke. By restoring the activity of daily living in patients, it is helpful to regulate the blood lipid levels. |
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