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使用头颈部磁共振血管造影术探讨急性脑卒中患者的神经功能恢复情况以及康复护理的影响。

Use of Head and Neck Magnetic Resonance Angiography to Explore Neurological Function Recovery and Impact of Rehabilitation Nursing on Patients with Acute Stroke.

机构信息

Department of Cardiopulmonary Rehabilitation, Cadre Sanatorium of Hainan & Geriatric Hospital of Hainan, Haikou, Hainan, China.

Department of Neurorehabilitation, Cadre Sanatorium of Hainan & Geriatric Hospital of Hainan, Haikou, Hainan, China.

出版信息

World Neurosurg. 2021 May;149:470-480. doi: 10.1016/j.wneu.2020.11.116.

DOI:10.1016/j.wneu.2020.11.116
PMID:33940698
Abstract

OBJECTIVE

To analyze neurological function recovery and the impact of rehabilitation nursing in patients with cerebral stroke after treatment to aid clinical diagnosis and treatment of cerebral stroke.

METHODS

The study comprised 140 patients who were hospitalized in the neurology department for magnetic resonance angiography examination. Patients were divided into a treatment group (70 patients) and a control group (70 patients) based on treatment plan. Digital subtraction angiography was regarded as the gold standard diagnostic examination. In patients in both groups, magnetic resonance angiography features of the M1 segment of the middle cerebral artery and diagnostic specificity and sensitivity were recorded. An activities of daily living score was used to assess neurological function of patients before and after rehabilitation.

RESULTS

The activities of daily living scores of patients in both groups increased significantly after treatment (P < 0.05); the scores of patients in the treatment group increased more significantly (P < 0.05). The total effective rate was 89% in the treatment group and 60% in the control group. The difference between the 2 groups was statistically significant (P < 0.05). After treatment, the degree of M1 segment stenosis in both groups was better than before treatment, and the number of collateral circulation branches was increased; the improvements in the treatment group were more significant (P < 0.05).

CONCLUSIONS

Rehabilitation nursing could greatly improve the stenosis of blood vessels in patients with acute cerebral stroke and promote the establishment of collateral circulation, thereby effectively enhancing the recovery of neurological function and strengthening the ability of patients to perform activities of daily living.

摘要

目的

分析治疗后脑卒中患者的神经功能恢复情况及康复护理的影响,为临床脑卒中的诊治提供参考。

方法

选取我院神经内科收治的 140 例行磁共振血管造影检查的患者进行研究。根据治疗方案将患者分为治疗组(70 例)和对照组(70 例)。数字减影血管造影被视为金标准诊断检查。记录两组患者大脑中动脉 M1 段磁共振血管造影特征和诊断的特异性和敏感性。采用日常生活活动评分评估患者康复前后的神经功能。

结果

两组患者治疗后的日常生活活动评分均显著升高(P<0.05),治疗组升高更显著(P<0.05)。治疗组总有效率为 89%,对照组为 60%。两组比较差异有统计学意义(P<0.05)。治疗后,两组 M1 段狭窄程度均优于治疗前,侧支循环支数增加;治疗组改善更显著(P<0.05)。

结论

康复护理能显著改善急性脑卒中患者的血管狭窄程度,促进侧支循环的建立,从而有效增强神经功能的恢复,增强患者的日常生活活动能力。

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