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目的了解老年偏瘫患者的临床特征、恢复期康复住院时间、住院费用及运动功能方面的特点。方法采用临床调查评定及查阅住院病历来收集资料的方法,从1999年6月至2002年6月共收集了中山医院康复医学科收治的偏瘫患者118位,把患者分成2组(老年组:≥65岁;年轻组:18～64岁),对患者临床特征、住院时间、住院费用及运动功能进行对比分析。统计用单因素方差分析(One-WayANOVA)。结果老年组患者伴发其它疾病数的比率和复发率均高于年轻组,两组患者入院时运动功能无差异(P>0.05),住院时间和住院费用无差异(P>0.05);老年组患者STREAM改变值、MBI治疗效率和STREAM治疗效率都低于年轻组(P<0.05,P<0.05,P<0.01);两组患者MBI改变值无差异(P>0.05)。结论对老年偏瘫患者进行预测以及在制定康复治疗计划时应不同于年轻患者,对老年患者则应首先了解其临床特征,制定适当的较低强度的康复训练计划,并减少不合适老年患者的治疗项目以降低住院费用来提高资源的利用。
Objective To understand the clinical features of elderly patients with hemiplegia, rehabilitation of hospitalization during recovery, hospitalization costs and motor function. Methods A total of 118 patients with hemiplegia were collected from June 1999 to June 2002 in Zhongshan Hospital of Rehabilitation Medicine. The patients were divided into two groups (aged group: ≥ 65 years old; young group: 18-64 years old), the clinical features, hospitalization time, hospitalization costs and motor function were analyzed. Statistics using one-way ANOVA (One-WayANOVA). Results There was no significant difference in motor function between the two groups (P> 0.05), hospital stay and hospitalization costs (P> 0.05). The elderly group The changes of STREAM, MBI and STREAM were lower in young patients (P <0.05, P <0.05, P <0.01). There was no difference in MBI between the two groups (P> 0.05). Conclusions The prediction of elderly patients with hemiparesis and the development of rehabilitation programs should be different from those of young patients, and the elderly should first understand their clinical characteristics, develop appropriate lower-intensity rehabilitation programs and reduce the treatment of inappropriate elderly patients Project to reduce hospital costs to improve the utilization of resources.