关键词: 脑卒中, 神经功能, 预后, 改良Rankin评分量表

Abstract: Objective To understand the epidemiological characteristics and neurological recovery situation of stroke patients and analyze factors influencing the recovery of neurological function in northern China.Methods Demographic characteristics, disease information and neurological recovery status of stroke patients aged 18 years and older were investigated in Qiaoxi District using self-made questionnaire. Univariate and multivariate logistic regressions were used to analyze factors influencing the prognosis of neurological function in stroke patients.Results A total of 506 stroke patients were surveyed, with an average age of （64.9 ± 8.9） years. Among all the patients, 99.4% were Han nationality, 80.9% were married and only 5.9% had the educational level at senior high school or above; 62.8% had good recovery of neurological function （mRS score≤1） and 37.2% had poor recovery （mRS > 1）. Multivariate logistic regression analysis showed that the onset symptoms of paralysis （OR = 8.526）, slurring words （OR = 2.712）, and relapse （OR = 1.894） were risk factors for poor neurological recovery; while symptoms of vomiting （OR=0.387）, thrombolytic therapy （OR=0.219）, and neuroprotective therapy （OR=0.441） were protective factors for the recovery of neurological function.Conclusion The recovery of neurological function was related to symptoms, therapies, rehabilitation methods and relapse. Thus, more attention should be paid to the onset symptoms of high-risk groups as well as the timely treatment and active rehabilitation of stroke patients, to avoid the recurrence of stroke and promote the recovery of neurological function of patients.

Key words: Stroke, Neurological function, Prognosis, Modified Rankin score scale