Preliminary Study on Cause of Disability in Patiellts with Ischemic Apoplexy

ZHONG Hai-zhen; MA Bin; GAO Ying

Abstract：Objective: To find factors associated with handicap in cerebral infarction on the 3rd month after attack. Methods:Clinical information were collected daily in 14 days after attack. Admission (in 72 hours after attack) National Institutes of Health Stroke Scale( NIHSS), NIHSS on the 7th, 14th,28th,and the third month were also collected. Bathel Index(BI) was used to assess the ability of daily life on the third month. The patients whose BI≤60 are considered to be handicapped. Resuhs:A total of 257 patients were studied. There were significant differences in age, Past history of diabetes, admission OCSP types, admission NIHSS, acute phase of head magnetic resonance imaging showed the lesion relative to the size of DWI,these symptoms emerging in 7 days after attack--somnolence,apathetic expression,slow mental reaction, gaze palsy, limbs limp, limb rigidity, hand swelling, sputum difficult to expectorate,cough, snore, low fever, incontinence of urine, dry tongue, thin fur, thick fur, dry fur, rough fur, infection within 28 days,treatment defibrase within 28 days and inducing resuscitation PCm within 28 days. In our multivariable logistic regression Admission( in 72 hours after attack) NIHSS, gaze palsy in 7 days after attack and infection within 28 days are independently associated with handicap while thin fur in 7 days after attack is independently protective factor.