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康复训练对脑卒中合并肌肉静脉血栓形成的安全性和有效性:一项观察性研究。

Safety and effectiveness of rehabilitation training for stroke complicated with muscular call vein thrombosis: An observational study.

机构信息

Rehabilitation Medical Center, the Second Hospital of Shandong University, Cheeloo College of Medicine, Shandong University, Jinan, China.

出版信息

Medicine (Baltimore). 2023 Aug 11;102(32):e34574. doi: 10.1097/MD.0000000000034574.

Abstract

This study aimed to explore the safety and effectiveness of rehabilitation treatment for stroke patients with muscular call vein thrombosis (MCVT) in the lower limbs. A total of 173 patients were recruited with stroke complicated by MCVT, including 130 who received rehabilitation training and 43 who did not receive rehabilitation training. The t test and chi-square test were used to analyze the basic data of the 2 groups. There were no significant differences in the Fugl-Meyer Assessment scores between 2 groups at the beginning of recruitment (P = .149). There was a significant difference in the Fugl-Meyer Assessment scores of the lower limbs in patients with MCVT after 3 weeks of rehabilitation treatment (P < .001), and there was a significant difference in the rate of MCVT recanalization and extension between the 2 groups (χ2 = 11.646, P = 0001). Combined with anticoagulation therapy, rehabilitation training did not increase the thrombosis progression of MCVT and was effective in the recovery of lower limb motor function in stroke patients.

摘要

本研究旨在探讨下肢肌间静脉血栓形成(MCVT)的脑卒中患者康复治疗的安全性和有效性。共招募了 173 例合并 MCVT 的脑卒中患者,其中 130 例接受康复训练,43 例未接受康复训练。采用 t 检验和卡方检验对 2 组的基本资料进行分析。2 组患者入组时 Fugl-Meyer 评估评分比较差异无统计学意义(P=0.149)。康复治疗 3 周后 MCVT 患者下肢 Fugl-Meyer 评估评分比较差异有统计学意义(P<0.001),2 组 MCVT 再通率及延展率比较差异有统计学意义(χ2=11.646,P=0.0001)。结合抗凝治疗,康复训练并未增加 MCVT 的血栓进展,对脑卒中患者下肢运动功能的恢复有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54ee/10419339/3d4942bfc3c7/medi-102-e34574-g001.jpg

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