临床医药实践
臨床醫藥實踐
림상의약실천
PROCEEDING OF CLINICAL MEDICINE
2015年
5期
323-325
,共3页
重症脑卒中%肺炎%神经功能
重癥腦卒中%肺炎%神經功能
중증뇌졸중%폐염%신경공능
severe stroke%pneumonia%neurological function
目的：分析重症脑卒中并发相关性肺炎对神经功能损伤的影响，并探讨功能康复疗法在重症脑卒中并发相关性肺炎治疗中的应用价值。方法：选择重症脑卒中患者92例，将其中32例在院期间未发生肺炎者作为 A 组，60例在院期间发生肺炎者作为 B 组，比较两组入组时及治疗1个月后的国立卫生院卒中量表（NIHSS）评分变化。同时将 B 组随机分为单纯接受药物抗肺炎治疗的 B1组及在药物治疗的基础上联合功能康复疗法治疗的 B2组，每组30例，比较两组治疗前后 NIHSS 评分变化。结果：A 组与 B 组 NIHSS 评分入组时比较，差异无统计学意义（P ＞0.05），接受治疗后1个月，A 组 NIHSS 评分明显低于 B 组（P ＜0.05）。B 组不同分组间发生肺炎时 NIHSS 评分比较，差异无统计学意义（P ＞0.05），经对症治疗2周后，B2组 NIHSS 评分明显低于 B1组（P ＜0.05）。结论：重症脑卒中并发相关性肺炎可影响患者的神经功能，而在此类患者中应用功能康复疗法可有效提高神经功能恢复程度。
目的：分析重癥腦卒中併髮相關性肺炎對神經功能損傷的影響，併探討功能康複療法在重癥腦卒中併髮相關性肺炎治療中的應用價值。方法：選擇重癥腦卒中患者92例，將其中32例在院期間未髮生肺炎者作為 A 組，60例在院期間髮生肺炎者作為 B 組，比較兩組入組時及治療1箇月後的國立衛生院卒中量錶（NIHSS）評分變化。同時將 B 組隨機分為單純接受藥物抗肺炎治療的 B1組及在藥物治療的基礎上聯閤功能康複療法治療的 B2組，每組30例，比較兩組治療前後 NIHSS 評分變化。結果：A 組與 B 組 NIHSS 評分入組時比較，差異無統計學意義（P ＞0.05），接受治療後1箇月，A 組 NIHSS 評分明顯低于 B 組（P ＜0.05）。B 組不同分組間髮生肺炎時 NIHSS 評分比較，差異無統計學意義（P ＞0.05），經對癥治療2週後，B2組 NIHSS 評分明顯低于 B1組（P ＜0.05）。結論：重癥腦卒中併髮相關性肺炎可影響患者的神經功能，而在此類患者中應用功能康複療法可有效提高神經功能恢複程度。
목적：분석중증뇌졸중병발상관성폐염대신경공능손상적영향，병탐토공능강복요법재중증뇌졸중병발상관성폐염치료중적응용개치。방법：선택중증뇌졸중환자92례，장기중32례재원기간미발생폐염자작위 A 조，60례재원기간발생폐염자작위 B 조，비교량조입조시급치료1개월후적국립위생원졸중량표（NIHSS）평분변화。동시장 B 조수궤분위단순접수약물항폐염치료적 B1조급재약물치료적기출상연합공능강복요법치료적 B2조，매조30례，비교량조치료전후 NIHSS 평분변화。결과：A 조여 B 조 NIHSS 평분입조시비교，차이무통계학의의（P ＞0.05），접수치료후1개월，A 조 NIHSS 평분명현저우 B 조（P ＜0.05）。B 조불동분조간발생폐염시 NIHSS 평분비교，차이무통계학의의（P ＞0.05），경대증치료2주후，B2조 NIHSS 평분명현저우 B1조（P ＜0.05）。결론：중증뇌졸중병발상관성폐염가영향환자적신경공능，이재차류환자중응용공능강복요법가유효제고신경공능회복정도。
Objective:To analyze the impact of severe stroke patients associated pneumonia on neurological damage,and to investigate the therapeutic value associated pneumonia in intensive functional rehabilitation therapy in stroke patients. Meth-ods:Nighty - two cases of severe stroke patients was observed,32 cases in Group A did not outbreak of pneumonia in the hospi-tal,60 cases in Group A outbreak of pneumonia in the hospital. To compare the US national institutes of health stroke scale (NIHSS)score of two group at entering the group and after the treatment of one month. While Group B were randomly divided into only accepting anti - pneumonia drug therapy(group B1)and drug therapy combined with functional rehabilitation thera-py(group B2),30 cases in each group,to compare the change of NIHSS scores before and after treatment. Results:The NIHSS score of Group A and Group B was no significant difference( P > 0. 05)at entering the group,after the treatment of one month,the NIHSS score of Group A was significantly lower than group B(P < 0. 05). The NIHSS score of different groups a-mong group B was no significant difference at outbreak of pneumonia(P > 0. 05),after symptomatic treatment of two weeks af-ter,the NIHSS score of Group B2 was significantly lower than group B1(P < 0. 05). Conclusion:The severe stroke - associated pneumonia an affect nerve function in patients,but functional rehabilitation therapy in such patients can the effectively improve the degree of neurological functional recovery.
