钟裕，沈敏海.脑白质疏松症对脑梗死康复的影响[J].中华物理医学与康复杂志,2002,(1):.-
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| 脑白质疏松症对脑梗死康复的影响 |
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| DOI： |
| 中文关键词: 脑梗死 脑白质疏松症 康复结局 |
| 英文关键词: Cerebral infarction Leuko araiosis Rehabilitation outcome |
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| 中文摘要: |
| 目的探讨脑白质疏松症(LA)对脑梗死康复的影响。方法74例脑梗死偏瘫患者根据MRI有否LA分为两组： 脑梗死合并LA组(A组)36例，脑梗死不伴LA组(B组)38例，均采用综合康复治疗，治疗前及治疗8周后评定偏瘫肢体运动功能﹑ADL能力﹑步行能力和高级脑机能。结果康复治疗前长谷川智能评分，A组23.8±4.6，B组27.3±4.8，两组差异有显著性(P<0.05)；肢体运动功能﹑ADL能力和步行能力两组差异均无显著性(P>0.05)。治疗8周后A组不能步行从治疗前75%下降至治疗后22%，独立步行从0%提高至25%，B组不能步行从74%下降至13%，独立步行从0% 提高至40%，两组比较差异有显著性(P<0.05)；两组偏瘫肢体运动功能较治疗前明显改善，均P<0.05，但偏瘫肢体运动功能恢复两组差异无显著性(P>0.05)；ADL积分A组从31.6±10.7提高至 64.1±16.8，B组从32.3±11.4 提高至 71.5±18.3，差异有显著性(P<0.05)；A组的康复效率（0.54±0.08）明显低于B组（0.65±0.09），差异有显著性(P<0.05)。结论LA能够影响脑梗死患者日常生活能力和步行能力的恢复。 |
| 英文摘要: |
| ObjectiveTo study the effects of leuko araiosis (LA) on rehabilitation outcome of patients with cerebral infarction.MethodsSeventy four patients with hemiplegia following cerebral infarction were divided into two groups according to MRI findings: group A(complicated with LA) and group B(no LA). Both of them received conventional rehabilitation intervention. The evaluation of motor functions, including ADL, walking abilities and higher brain functions were done before and eight weeks after training.ResultsThe higher cerebral functions in group A were significantly lower than that of group B(P<0.05). Motor function recovery in group A was not different from those in group B (P>0.05). The ADL scores and walking function recovery of patients in group B were obviously superior to those in group A (P<0.05). ConclusionHemiplegic cerebral infarction complicated by LA can seriously affect the rehabilitation outcome, especially the walking functions and the abilities of daily life. |
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