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脑卒中后继发Wallerian变性与康复预后的相关性分析
引用本文:郝冬琳,陈晓南,许元丰,王利惠. 脑卒中后继发Wallerian变性与康复预后的相关性分析[J]. 中国全科医学, 2011, 14(20)
作者姓名:郝冬琳  陈晓南  许元丰  王利惠
作者单位:江苏大学附属武进医院神经内科,江苏省常州市,213003
摘    要:目的 探讨脑卒中后继发Wallerian变性(WD)与患者运动功能障碍的相关性,以判断患者的康复预后.方法 将80例脑卒中患者根据MRI表现分为WD组和非WD组,分别于病初和病后6个月采用修订的Barthel指数(MBI)对患者的日常生活能力(ADL)进行测评,采用Fugl-Meyer运动功能量表(FMA)对其运动功能障碍进行测评,并比较两组的测评结果.结果 非WD组FMA提高分值及MBI提高分值明显高于WD组,两组比较差异均有统计学意义(P<0.01).结论 脑卒中后继发WD患者的ADL提高较慢、运动功能恢复较差,康复预后不佳.

关 键 词:脑卒中  Wallerian变性  运动功能障碍  康复预后

Relationships between Post-stroke Wallerian Degeneration and the Rehabilitation Prognosis
HAO Dong-lin,CHEN Xiao-nan,XU Yuan-feng,et al.. Relationships between Post-stroke Wallerian Degeneration and the Rehabilitation Prognosis[J]. Chinese General Practice, 2011, 14(20)
Authors:HAO Dong-lin  CHEN Xiao-nan  XU Yuan-feng  et al.
Affiliation:HAO Dong-lin,CHEN Xiao-nan,XU Yuan-feng,et al.Department of Neurology,Jiangsu University Affiliated Wujin Hospital,Changzhou 213003,China
Abstract:Objective To investigate the correlations between post-stroke Wallerian Degeneration(WD)and Motor dysfunction so as to judge the rehabilitation prognosis of the patients.Methods Eighty cases of stroke patients were divided into WD group and non-WD group according to their MRI manifestations.Modified barthel index(MBI) was applied to evaluate the Activities of Daily Living(ADL),and Fugl-Meyer assessment(FMA)was applied to evaluate the degree of Motor dysfunction of the patients both right after the stroke an...
Keywords:Stroke  Wallerian Degeneration  Motor dysfunction  Rehabilitation prognosis  
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