LI Zhifeng 1,2 , YUAN Liuqing 3 , HUA Yan 4 , LU Rongrong 4 , JIANG Congyu 1 , BAI Yulong 1,4
  • 1. Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, P. R. China;
  • 2. Department of Rehabilitation Medicine, Minhang Hospital, Fudan University, Shanghai 201100, P. R. China;
  • 3. Department of Rehabilitation Medicine, Lanshaninyi City People Hospital, Linyi, Shandong 276002, P. R. China;
  • 4. Department of Rehabilitation Medicine, North Huashan Hospital, Fudan University, Shanghai 201907, P. R. China;
BAI Yulong, Email: dr_baiyl@fudan.edu.cn
Stroke; Youth; Rehabilitation period
10.7507/1002-0179.202102014
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Objective To explore the differences of rehabilitation clinical characteristics between youth stroke patients and middle and old age stroke patients, to provide references for secondary prevention and personalized rehabilitation treatment for youth stroke.Methods From May 2016 to October 2019, stroke inpatient in the Department of Rehabilitation Medicine of Huashan Hospital of Fudan University were included. Patients were divided into youth group and middle and old age group according to their age. The clinical characteristics of the two groups during the rehabilitation period were analyzed.Results A total of 271 patients were included, including 70 in the youth group and 201 in the middle and old age group. The proportion of patients with hypertension (85.07% vs. 71.43%), diabetes (34.83% vs. 17.14%) and infection (20.90% vs. 8.57%) in the middle and old age group were higher than those in the youth group (P<0.05). The proportion of patients with hemorrhagic stroke (71.43% vs. 32.84%), history of stroke surgery (54.29% vs. 13.43%), epilepsy secondary to stroke (31.43% vs. 4.48%) and overweight/obesity (57.14% vs. 42.79%) in the youth group were higher than those in the middle and old age group (P<0.05). There was no significant difference in the proportion of gender, cognitive impairment, and thinness between the two groups (P>0.05). Among patients whose disease course was within 1 month at the time of admission, there was no significant difference in Brunnstrom stage of upper limbs-hands-lower limbs between the two groups (P>0.05). The scores of Berg Balance Scale (Z=−2.493, P=0.013) and Barthel Index (Z=−2.527, P=0.012) in the youth group were higher than those in the middle and old age group. Among patients whose disease course was between 1 month and 3 months at the time of admission, there was no significant difference in Brunnstrom stage of upper limbs-hands-lower limbs and Barthel Index between the two groups (P>0.05). The scores of Berg Balance Scale in the youth group were higher than those in the middle and old age group (Z=−2.004, P=0.045). Among patients whose disease course was more than 3 months at the time of admission, there was no significant difference in the scores of Berg Balance Scale, Barthel Index, and Brunnstrom stage of upper limbs-hands-lower limbs between the two groups (P>0.05).Conclusions For youth stroke patients, weight control is very important, and it is necessary to pay close attention to whether there are seizures. In the case of patients with stable vital signs in the early stage of the disease, more active rehabilitation treatment can be given.

Citation： LI Zhifeng, YUAN Liuqing, HUA Yan, LU Rongrong, JIANG Congyu, BAI Yulong. Clinical characteristics during rehabilitation period of youth stroke patients. West China Medical Journal, 2021, 36(5): 582-587. doi: 10.7507/1002-0179.202102014 Copy

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