|
|||||
|
|
| 早期康复治疗对脑梗死偏瘫患者脑血流的影响 | |
| 引用本文： | 成祥林,向明清,熊勋波,赵成三. 早期康复治疗对脑梗死偏瘫患者脑血流的影响[J]. 中国康复, 2008, 23(5). DOI: 10.3870/zgkf.2008.05.010 |
| 作者姓名： | 成祥林 向明清 熊勋波 赵成三 |
| 作者单位： | 荆州市第一人民医院神经科,湖北,荆州,434000 |
| 摘 要： | 目的:探讨早期康复治疗对脑梗死偏瘫患者脑血流的影响,评价早期康复治疗的效果及指标.方法:脑梗死偏瘫患者87例,按人院顺序分为观察组48例和常规组39例,并选择46例同期体检的健康人(健康组)作为健康对照,观察组和常规组均在神经内科按脑梗死常规处理,以药物治疗为主.观察组在此基础上配合Bobath疗法.治疗前后和健康组均应用TCD检测双侧大脑中动脉(MCA)的平均血流速度(Vm),同时应用Fugl-Meyer法(FMA)评价瘫痪肢体的功能.结果:治疗30 d后FMA评分与治疗前比较,观察组和常规组均有显著提高(P＜0.01).治疗前观察组和常规组MCA健患侧Vm均低于健康组(P＜0.01或0.05);治疗后观察组有明显提高,与健康组比较差异无显著性意义;常规组患侧较治疗前明显提高.但仍低于观察组和健康组(P＜0.05).结论:早期康复治疗可以增加脑梗死偏瘫患者的脑血流量,促进功能恢复,TCD可以作为评价其早期疗效的指标,优于FMA评分. |
| 关 键 词： | 脑梗死 平均血流速度 |
The Effect of Early Positive Rehabilitative Intervention on Cerebral Blood Flow of Patient with Hemiplegia Following Cerebral Infarction |
|
| CHEN Xiang-lin,XIANG Ming-qing,XIONG Xun-bo,et al.. The Effect of Early Positive Rehabilitative Intervention on Cerebral Blood Flow of Patient with Hemiplegia Following Cerebral Infarction[J]. Chinese Journal of Rehabilitation, 2008, 23(5). DOI: 10.3870/zgkf.2008.05.010 | |
| Authors: | CHEN Xiang-lin XIANG Ming-qing XIONG Xun-bo et al. |
| Affiliation: | CHEN Xiang-lin,XIANG Ming-qing,XIONG Xun-bo,et al.Department of Neurology,The Jingzhou First Hospital,Jingzhou 434000,China |
| Abstract: | Objective:To observe the effect of early positive rehabilitative intervention on cerebral blood flow of patients with hemiplegia following cerebral infarction and evaluate the outcome and markers of early positive rehabilitative intervention.Methods:Eighty-seven patients with hemiplegia following cerebral infarction were divided into observation group (n=48) and routine group (n=39) consecutively.Forty-six healthy volunteers at the same period served as healthy control groups.The patients in rehabilitation ... |
| Keywords: | TCD Fugl-Meyer |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |