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1、中国药物与临床2006年11月第6卷第11期ChineseRemedies&Clinics,November2006,Vol6,No.11·815·急性脑血管病偏瘫早期康复治疗与脑血流变化关系的研究王红清赵鸿平马联胜李光来【摘要】目的探讨加用早期康复治疗手段对急性脑血管病偏瘫的疗效及相关因素的影响。方法对201例急性脑血管病患者随机分为康复组和对照组,康复组早期加用康复手段,通过对康复治疗前后神经功能缺损评分、生活能力指数(ADL)评分及经颅多普勒彩色超声(TCD)脑血流的变化判断疗效。结果康复治疗前后神经功能缺
2、损评分、ADL比较差异有统计学意义(P<0.01),康复治疗对脑血流情况有明显改善,神经功能缺损程度越重,血流速度越低,康复治疗后血流速度上升的幅度也越小。结论急性脑血管病偏瘫早期加用康复治疗较常规治疗效果好,偏瘫恢复程度提高,减轻病残程度,提高生活质量。TCD可以作为测定脑梗死恢复情况的客观指标。【关键词】急性脑血管病;偏瘫;康复;经颅多普勒彩色超声;神经功能缺损评分;生活质量评分Therelationshipbetweencerebralbloodflowandearlyrehabilitativeinter
3、ventionforacutecerebrovasculardiseaseWANGHong-qing,ZHAOHong-ping,MALian-sheng,LIGuang-lai.DepartmentofNeurology,TheSecondHospitalofShanxiMedicalUniversity,Taiyuan030001,China【Abstract】ObjectionsToinvestigatethetherapeuticeffectandcorrelationfactorofadditional
4、earlyrehabilita-tiveinterventionforhemiplegiacausedbyacutecerebrovasculardiseases.MethodsTwohundredandonecasesofa-cutecerebrovasculardiseaseswererandomizedintorehabilitationgrouporcontrolgroup.Therehabilitationgroupre-ceivedearlyadditionalrehabilitationtherap
5、y.Thetreatmentefficacywasjudgedbyneurologicalimpairmentscore,ac-tivitiesofdailylivingscore(ADL)andtranscranialdopplersonographybeforeandafterrehabilitation.ResultsStatis-ticalsignificantlydifferenceswerefoundinneurologicalimpairmentandADLscoresbetweenthe2grou
6、ps(P<0.01).Rehabilitativeinterventiondemonstratedmarkedlyimprovementoncerebralbloodflow.However,aslightlyloweredin-creaseinbloodflowvelocitypost-treatmentwasalsoseeninthosewithmoresevereneurologicalimpairmentandslowercerebralbloodflow.ConclusionComparedwithco
7、nventionaltherapy,earlyadditionalrehabilitationforacutecere-brovasculardiseaseresultedinbetteroutcomes,suchasimprovedrecoveryofhemiplegia,reduceddisabilitiesandgoodqualityoflife.Transcranialdopplersonographymaybeusedasanobjectivemeasureinassessmentofrecoverya
8、fterstroke.【Keywords】Acutecerebrovasculardisease;Hemiparalysis;Convalescence;Transcranialdopplersonog-raphy;Neurologicimpairmentscore;Activitiesofdailylivingscore本研究对201例急性脑血管病偏瘫早期康复治组)90
