CAJ | 학술논문

目的：研究肥胖对脑卒中后偏瘫康复的影响。方法脑卒中住院患者118例，按体质量指数分为正常体重组、超重组和肥胖组，所有患者综合康复12周。治疗前后采用美国国立研究院卒中量表(NIHSS)、Fugl-Meyer运动功能评定(FMA)、Berg平衡量表(BBS)和改良Bathel指数(MBI)进行评定。结果治疗后各组的NIHSS、FMA、BBS以及MBI评分与治疗前相比均有显著改善(P<0.001)，治疗后肥胖组NIHSS评分、BBS评分、MBI评分均为最差(P<0.05)，各组FMA评分无显著性差异(P>0.05)。结论肥胖不利于脑卒中患者的康复，导致残疾程度高。
목적：연구비반대뇌졸중후편탄강복적영향。방법뇌졸중주원환자118례，안체질량지수분위정상체중조、초중조화비반조，소유환자종합강복12주。치료전후채용미국국립연구원졸중량표(NIHSS)、Fugl-Meyer운동공능평정(FMA)、Berg평형량표(BBS)화개량Bathel지수(MBI)진행평정。결과치료후각조적NIHSS、FMA、BBS이급MBI평분여치료전상비균유현저개선(P<0.001)，치료후비반조NIHSS평분、BBS평분、MBI평분균위최차(P<0.05)，각조FMA평분무현저성차이(P>0.05)。결론비반불리우뇌졸중환자적강복，도치잔질정도고。
Objective To study the influence of obesity on outcome of rehabilitation for the hemiplegic post stroke. Methods 118 hospi-talized stroke patients were divided into the normal weight, overweight and obesity groups according to the Body Mass Index. All the pa-tients received rehabilitation for 12 weeks. They were assessed with National Institute of Health Stroke Scale (NIHSS), Fugl-Meyer Assess-ment (FMA), Berg Balance Scale (BBS) and modified Barthel Index (MBI) before and after rehabilitation. Results The scores of NIHSS, FMA, BBS and MBI improved significantly after rehabilitation in all the groups (P<0.001), and improved the lest in the obesity group in the scores of NIHSS, BBS and MBI (P<0.05). There was no significant difference in FMA score among groups (P>0.05). Conclusion Obesity influences the outcome of rehabilitation, results in poor functioning.