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“卒中最小化方案”(PMIC - Minimal Protocol for Stroke)在住院康复环境中的应用。

Application of ''Protocollo di Minima per l'ictus'' (PMIC- Minimal Protocol for Stroke) for inpatient rehabilitation setting.

作者信息

Piazzini D B, Ferrara P E, Maggi L, Frasca G, Aprile I, Rabini A, Specchia A, Bertolini C

机构信息

Department of Physical Medicine and Rehabilitation Catholic University, Rome, Italy

出版信息

Eur J Phys Rehabil Med. 2008 Sep;44(3):277-81.

Abstract

AIM

The aim of this study was to describe the baseline characteristics of a sample of stroke patients admitted to rehabilitation settings with the use of a standardised stroke assessment named ''Protocollo di Minima per l'ictus cerebrale'' (PMIC), to verify the usefulness of the application of PMIC and to compare the data of the authors with the international literature.

METHODS

An observational cross sectional study was conducted on a sample of 102 first-time stroke patients (mean age: 71.9 [+/-11.6], 54 men), in three inpatient rehabilitation centres.

MEASUREMENT

PMIC.

RESULTS

Most patients were enrolled within 14 days of stroke onset. PMIC assessment took on average 20 minutes and provided the following information: 35% had architectural barriers in their homes; 82% of the cases had 1 or more family assistants; the educational level was low for 53%; 72% were retired; most cases were ischemic stroke without any side predominance being shown; 44% had partial anterior circulation infarcts (PACI) ischemic stroke; 18.6% presented dysphagia; 73% had sphincteral incontinence; there was no hypertone in more than 50% of the cases; 87% required assistance; the median Motricity Index Side Score (Miss) value was 44.1; 38% was affected by mood tone alteration.

CONCLUSION

PMIC appeared to be a useful tool for a standardized evaluation of stroke patients. These results provide data with a high correspondence in international reports.

摘要

目的

本研究旨在描述使用名为“脑卒中小型诊疗方案”(PMIC)的标准化卒中评估方法收治到康复机构的卒中患者样本的基线特征,验证PMIC应用的有效性,并将作者的数据与国际文献进行比较。

方法

在三个住院康复中心对102例首次卒中患者(平均年龄:71.9[±11.6],54例男性)样本进行了观察性横断面研究。

测量方法

PMIC。

结果

大多数患者在卒中发病后14天内入组。PMIC评估平均耗时20分钟,并提供了以下信息:35%的患者家中存在建筑障碍;82%的病例有1名或更多家庭护理人员;53%的患者教育水平较低;72%的患者已退休;大多数病例为缺血性卒中,未显示出任何一侧优势;44%的患者为部分前循环梗死(PACI)缺血性卒中;18.6%的患者出现吞咽困难;73%的患者有括约肌失禁;超过50%的病例无肌张力亢进;87%的患者需要帮助;运动指数侧评分(Miss)的中位数为44.1;38%的患者受情绪状态改变影响。

结论

PMIC似乎是一种用于卒中患者标准化评估的有用工具。这些结果提供的数据与国际报告高度一致。

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