中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
14期
1884-1885
,共2页
脑血管意外%假性球麻痹%治疗学
腦血管意外%假性毬痳痺%治療學
뇌혈관의외%가성구마비%치료학
Stroke%Pseudobulbar paralysis%Therapeutic strategy
目的 探讨脑卒中后假性球麻痹患者的临床管理及治疗策略.方法 回顾性分析157例康复期脑卒中患者的临床资料,筛选出并发假性球麻痹病例,并对所筛选病例的流行病学特征及治疗效果进行分析.结果 157例患者中并发假性球麻痹病例55例(35.0%),其中出血性卒中26例(26/55,47.3%),包括基底节区出血6例(6/26,23.0%),小脑出血12例(12/26,46.2%)及脑干出血8例(8/26,30.8%);缺血性卒中29例(29/55,52.7%),其中皮质梗死9例(9/29,31.0%),脑干梗死13例(13/29,44.8%),小脑梗死7(7/29,24.2%);多发病灶32例(32/55,58.2%),单一病灶23例(23/55,41.8%).55例假性球麻痹患者中,显效41例(42/55,76.4%),有效11例(11/55,20.0%),无效2例(2/55,3.6%).结论 采取综合的管理措施及适合的内科治疗可能是针对脑卒中后假性球麻痹患者合理的临床管理及治疗策略.
目的 探討腦卒中後假性毬痳痺患者的臨床管理及治療策略.方法 迴顧性分析157例康複期腦卒中患者的臨床資料,篩選齣併髮假性毬痳痺病例,併對所篩選病例的流行病學特徵及治療效果進行分析.結果 157例患者中併髮假性毬痳痺病例55例(35.0%),其中齣血性卒中26例(26/55,47.3%),包括基底節區齣血6例(6/26,23.0%),小腦齣血12例(12/26,46.2%)及腦榦齣血8例(8/26,30.8%);缺血性卒中29例(29/55,52.7%),其中皮質梗死9例(9/29,31.0%),腦榦梗死13例(13/29,44.8%),小腦梗死7(7/29,24.2%);多髮病竈32例(32/55,58.2%),單一病竈23例(23/55,41.8%).55例假性毬痳痺患者中,顯效41例(42/55,76.4%),有效11例(11/55,20.0%),無效2例(2/55,3.6%).結論 採取綜閤的管理措施及適閤的內科治療可能是針對腦卒中後假性毬痳痺患者閤理的臨床管理及治療策略.
목적 탐토뇌졸중후가성구마비환자적림상관리급치료책략.방법 회고성분석157례강복기뇌졸중환자적림상자료,사선출병발가성구마비병례,병대소사선병례적류행병학특정급치료효과진행분석.결과 157례환자중병발가성구마비병례55례(35.0%),기중출혈성졸중26례(26/55,47.3%),포괄기저절구출혈6례(6/26,23.0%),소뇌출혈12례(12/26,46.2%)급뇌간출혈8례(8/26,30.8%);결혈성졸중29례(29/55,52.7%),기중피질경사9례(9/29,31.0%),뇌간경사13례(13/29,44.8%),소뇌경사7(7/29,24.2%);다발병조32례(32/55,58.2%),단일병조23례(23/55,41.8%).55례가성구마비환자중,현효41례(42/55,76.4%),유효11례(11/55,20.0%),무효2례(2/55,3.6%).결론 채취종합적관리조시급괄합적내과치료가능시침대뇌졸중후가성구마비환자합리적림상관리급치료책략.
Objective To investigate the clinical management and therapeutic strategy for patients with pseudobulbar paralysis post stroke. Methods To retrospectively analyze the clinical data of 157 patients poststroke whom were in convalescence stage. Then patients with pseudobulbar paralysis were selected and whose epidemiology feature and treatment effect were analyzed. Results In 157 patients,55 patients(35.0%) were complicated with pseudobulbar paralysis,among whom,26 patients(26/55,47.3%) with hemorrhagic stroke,including basal ganglia hemorrhage 6(6/26,23. 0%) , cerebellar hemorrhage 12 (12/26,46. 2%) and brain stem hemorrhage 8 (8/26,30. 8%).29 patients suffered ischemic stroke(29/55,52.7%) ,including 9 cases with corticalis(9/29,31.0%),13 with brain stem infarction(13/29,44.8%) and 7 with cerebellar infarction(7/29,24. 2%). Among all the patients,32(32/55,58.2%) cases lesion were multiple and 23 cases(23/55,41. 8%) were simple. In the field of treatment effect of all patients,41 cases(42/55,76.4%) were with excellence, 11 with utility(11/55,20%) and 2 with inefficiency (2/55,3.6%). Conclusion The comprehensive management and compatible medical treatment should be the compatible clinical management and therapeutic strategy for patients with pseudobulbar paralysis post stroke.
