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为预测初发老年脑梗死住院患者出院时的生活自理能力，采用回顾性分析的方法对1991～1994年住院的年龄＞60岁的初发脑梗死患者共242例，去除入院时能独立步行（90例）及住院期间死亡（13例）的病例．剩余139例接出院时的生活能否自理而分为自理组（56例）和非自理组（83例）。对发病时的情况，入院后第1次的各种检查结果以及康复治疗等参数进行单因素（t和x~2检验）和多元回归分析。结果：单因素分析中，血糖、糖尿病史及其年限、入院时神志、认知障碍、尿失禁、大片脑梗死及康复治疗等．2组间差异有显著性（P＜0．05）；多元回归分析发现性别、住院天数、糖尿病史、心肌缺血、尿白细胞、大片梗死、认知障碍及康复治疗共8个因素与患者生活自理能力有相关性（P=0．001～0．056）。提示根据老年脑梗死患者发病及入院时的相关参数可以预测出院时的生活自理能力，并为拟定早期康复计划提供客观依据。
In order to predict the self-care abilities of hospitalized patients with newly diagnosed primary cerebral infarction at discharge from hospital, a retrospective analysis was performed on 242 patients with newly diagnosed cerebral infarction aged> 60 years who were admitted to hospital from 1991 to 1994, 90 cases) and died during hospitalization (13 cases). The remaining 139 cases received self-care when they were discharged from the hospital were divided into self-care group (56 cases) and non-self-care group (83 cases). Univariate (t and x ~ 2 test) and multivariate regression analysis were performed on the incidence, the first examination after admission, and the parameters of rehabilitation. Results: In the univariate analysis, the blood glucose, the history of diabetes and its duration, admission consciousness, cognitive impairment, urinary incontinence, large cerebral infarction and rehabilitation therapy. There were significant differences between the two groups (P <0.05). Multivariate regression analysis found that there were 8 factors such as sex, length of hospital stay, history of diabetes, myocardial ischemia, white blood cells, large infarction, cognitive impairment and rehabilitation Self-care ability is related (P = 0.001 ~ 0.056). It is suggested that based on the relevant parameters of onset and admission of elderly patients with cerebral infarction, the self-care ability at discharge can be predicted and provide an objective basis for the formulation of early rehabilitation plan.