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心脏手术后缺血性脑卒中患者的心脏康复与神经康复整合:一例病例报告

Integrating Cardiac Rehabilitation with Neurorehabilitation in a Patient with Ischemic Stroke after Cardiac Surgery: a Case Report.

作者信息

Jung Chul, Ye Dong Hyun, Lee Seung Hak

机构信息

Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

Brain Neurorehabil. 2020 Nov 24;14(1):e2. doi: 10.12786/bn.2021.14.e2. eCollection 2021 Mar.

Abstract

Stroke and cardiac disorders are difficult to approach separately. Stroke survivors commonly have cardiovascular comorbidities and vice versa. These patients often need both neurorehabilitation and cardiac rehabilitation; therefore, this is an important issue in the rehabilitation process. However, no consensus has been reached on the integration of cardiac rehabilitation and neurorehabilitation. We report the case of a 52-year-old male patient who had ischemic stroke after mitral valvuloplasty. The patient underwent 3 weeks of inpatient neurorehabilitation, and then transited to 6 weeks of outpatient cardiac rehabilitation and occupational therapy. After 9 weeks of well-integrated rehabilitation, the patient experienced neurologic recovery and improvement in his cardiopulmonary fitness. Like this case, successful integrated rehabilitation will contribute to enhancing patients' functional recovery.

摘要

中风和心脏疾病很难单独处理。中风幸存者通常伴有心血管合并症,反之亦然。这些患者往往既需要神经康复,也需要心脏康复;因此,这是康复过程中的一个重要问题。然而,在心脏康复与神经康复的整合方面尚未达成共识。我们报告一例52岁男性患者,该患者在二尖瓣成形术后发生缺血性中风。患者接受了3周的住院神经康复治疗,然后过渡到6周的门诊心脏康复和职业治疗。经过9周的良好整合康复治疗后,患者神经功能得到恢复,心肺功能也有所改善。像这个病例一样,成功的整合康复将有助于提高患者的功能恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b112/9879410/2de5937f36b2/bn-14-e2-g001.jpg

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