中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2008年
5期
728-729
,共2页
失语,经皮质运动性%康复%血流速度%超声检查,多普勒,经颅
失語,經皮質運動性%康複%血流速度%超聲檢查,多普勒,經顱
실어,경피질운동성%강복%혈류속도%초성검사,다보륵,경로
Aphasia,broca%Rehabilitation%Blood flow velocity%Ultarsonography,Doppler,transcranial
目的 探讨早期康复治疗对脑血管病皮质运动性失语(Broca失语)患者脑血流的影响,评价早期康复治疗的效果,寻找评价疗效的指标.方法 选择Broca失语患者41例,按入院顺序随机分为康复组(23例)和对照组(18例),并选择37例同期体检的健康人作为健康对照组,康复组在应用药物治疗的基础上联用康复治疗,而治疗组仅应用药物治疗,两组治疗前后和健康对照组都应用经颅多普勒检测左侧大脑中动脉的平均血流速度.结果 康复组和对照组治疗后VD[(74.54±12.17)m/s、(61.73±11.37)m/s]较治疗前[(46.36±10.21)m/s、(43.47±9.42)m/s]平均血流速度明显增高[(t=9.17,P<0.01);(t=7.62,P<0.01)],与健康对照组比较差异无统计学意义(q=2.96,P0.05).康复组与对照组比较,治疗后平均血流速度明显增高(q=3.18,P<0.05).结论 早期康复治疗可以增加Broca失语患者的脑血流量,经颅多普勒检测可以作为评价其早期疗效的指标.
目的 探討早期康複治療對腦血管病皮質運動性失語(Broca失語)患者腦血流的影響,評價早期康複治療的效果,尋找評價療效的指標.方法 選擇Broca失語患者41例,按入院順序隨機分為康複組(23例)和對照組(18例),併選擇37例同期體檢的健康人作為健康對照組,康複組在應用藥物治療的基礎上聯用康複治療,而治療組僅應用藥物治療,兩組治療前後和健康對照組都應用經顱多普勒檢測左側大腦中動脈的平均血流速度.結果 康複組和對照組治療後VD[(74.54±12.17)m/s、(61.73±11.37)m/s]較治療前[(46.36±10.21)m/s、(43.47±9.42)m/s]平均血流速度明顯增高[(t=9.17,P<0.01);(t=7.62,P<0.01)],與健康對照組比較差異無統計學意義(q=2.96,P0.05).康複組與對照組比較,治療後平均血流速度明顯增高(q=3.18,P<0.05).結論 早期康複治療可以增加Broca失語患者的腦血流量,經顱多普勒檢測可以作為評價其早期療效的指標.
목적 탐토조기강복치료대뇌혈관병피질운동성실어(Broca실어)환자뇌혈류적영향,평개조기강복치료적효과,심조평개료효적지표.방법 선택Broca실어환자41례,안입원순서수궤분위강복조(23례)화대조조(18례),병선택37례동기체검적건강인작위건강대조조,강복조재응용약물치료적기출상련용강복치료,이치료조부응용약물치료,량조치료전후화건강대조조도응용경로다보륵검측좌측대뇌중동맥적평균혈류속도.결과 강복조화대조조치료후VD[(74.54±12.17)m/s、(61.73±11.37)m/s]교치료전[(46.36±10.21)m/s、(43.47±9.42)m/s]평균혈류속도명현증고[(t=9.17,P<0.01);(t=7.62,P<0.01)],여건강대조조비교차이무통계학의의(q=2.96,P0.05).강복조여대조조비교,치료후평균혈류속도명현증고(q=3.18,P<0.05).결론 조기강복치료가이증가Broca실어환자적뇌혈류량,경로다보륵검측가이작위평개기조기료효적지표.
Objective To observe the effect of cerebral blood flow on Broca aphasia patient of cerebrovascular disease by early rehabilitative intervention, to evaluate the result of early rehabilitative intervention, to ques the marker evaluating early effect. Methods 41 Broca aphasia patients were divided to rehabilitation groups (23 patients) and control groups(18 patients) according to the sequence of hospitalization, and meanwhile 37 patients of health examination were chosen as health control groups, the patients of rehabilitation groups were treated with drug and rehabilitative intervention but the patients of control group were treated only with drug, the average cerebral blood flow of left middle cerebral artery of both groups and health control group was examined with transcranium doppler before and after treatment. Results The average cerebral blood flow of left middle cerebral artery of rehabilitation group and control group was not different before treatment, the rehabilitation group and control group was less than health control group; the average cerebral blood flow of left middle cerebral artery of rehabilitation group and control group was increased obviously after treatment than that before treatment; the average cerebral blood flow of left middle cerebral artery was not different between rehabilitation group and health control group after treatment, it was different between control group and health control group; the average cerebral blood flow of left middle cerebral artery was increased obviously on rehabilitation group than that on control group after treatment. Conclusions the early rehabilitative intervention can increase the average cerebral blood flow of left middle cerebral artery of Broca aphasia patient accelerate the functional restoration; TCD can be regarded as an early marker to evaluate early effect.
