目的：探讨卒中后痉挛（Post-stroke spasticity，PSS）发病的相关危险因素。方法：选择2022年4月1日
至 2023年12月31日于天津中医药大学第一附属医院康复中心住院的脑卒中患者病例资料。根据PSS的
存在与否，将患者分别分为PSS组和NPSS组。使用单因素和多因素Logistics分析潜在危险因素。结果：多
因素Logistic回归分析揭示了PSS发生的6个危险因素，包括病程大于2周、右侧脑半球受损、较高NIHSS评
分（5～20分）、较低的MBI（41～59分），而老年卒中、高甘油三酯会降低PSS的发生率。结论：本研究共确
定了6个PSS的危险因素。
To explore the related risk factors for the onset of post-stroke spasticity (PSS).
Methods: Medical records of stroke patients hospitalized in the Rehabilitation Center of the First Affiliated
Hospital of Tianjin University of Traditional Chinese Medicine from April 1, 2022, to December 31, 2023, were
enrolled. Patients were divided into the PSS group and the non-PSS (NPSS) group based on the presence or
absence of PSS. Univariate and multivariate logistic analyses were used to analyze potential risk factors.
Results: Multivariate logistic regression analysis revealed six risk factors for the occurrence of PSS, including a
disease course longer than 2 weeks, right cerebral hemisphere damage, higher NIHSS scores (ranging from 5 to
20), and lower MBI scores (ranging from 41 to 59). In contrast, older age at stroke onset and high triglyceride
levels were found to reduce the incidence of PSS. Conclusion: This study identified a total of six risk factors
for PSS.
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