摘要
目的探讨老年缺血性卒中病人在接受血管内治疗术后发生疲劳的影响因素。方法回顾性收集2016年1月至2019年2月于南京医科大学附属南京医院(南京市第一医院)神经内科接受血管内治疗的老年缺血性卒中病人(年龄≥65岁)。所有病人于血管内治疗术后1周采用9项疲劳严重程度量表进行疲劳的诊断,将量表得分≥4分定义为疲劳。运用多变量Logistic回归分析血管内治疗术后疲劳的独立影响因素。结果研究期间共纳入符合标准的病人371例,其中疲劳组169例(45.6%),非疲劳组202例(54.4%)。与非疲劳组比较,疲劳组年龄更高(P=0.001)、男性比例较少(P=0.011)、左半球梗死比例更高(P=0.001)、文化程度较低(P=0.001)。多因素Logistic回归分析校正混杂因素后发现,年龄、梗死部位位于左半球为术后疲劳的危险因素(P<0.01)。以文盲作为参照,小学至初中、高中及中专、大学及以上是老年缺血性卒中病人血管内治疗术后疲劳的保护因素(P<0.01)。结论在老年缺血性卒中病人接受血管内治疗后,医护人员应关注年龄较大、梗死部位在左半球、文化程度较低的病人的疲劳状态。
Objective To investigate the influencing factors of fatigue after endovascular treatment in the elderly patients with acute ischemic stroke.Methods The elderly patients(aged≥65 years old)with acute ischemic stroke,who underwent endovascular treatment in Nanjing First Hospital,were enrolled in this study from January 2016 to February 2019.The patients were divided into fatigue group and non-fatigue group according to the score of Fatigue Severity Scale.Multivariable Logistic regression analysis was used to determine the influencing factors of fatigue after endovascular treatment in the elderly patients with acute ischemic stroke.Results A total of 371 patients were enrolled,and 169(45.6%)patients were diagnosed as fatigue.Compared with non-fatigue group,fatigue group showed older age(P=0.001),less male(P=0.011),higher proportion of infarct site in the left cerebral hemisphere(P=0.001)and lower education level(P=0.001).Multivariate Logistic regression analysis indicated that older age,infarct site in the left cerebral hemisphere were risk factors of fatigue,and higher education level was protective factor of fatigue after endovascular treatment.Conclusions Older age and infarct site and low education level may induce the presence of fatigue after endovascular treatment in the elderly patients with acute ischemic stroke.
作者
张媛
詹慧
徐一鸣
周俊山
ZHANG Yuan;ZHAN Hui;XU Yi-ming;ZHOU Jun-shan(Department of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, China)
出处
《实用老年医学》
CAS
2021年第7期769-772,共4页
Practical Geriatrics
