《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (1): 60-61.

• 论文 • 上一篇    下一篇

早期康复联合胰岛素治疗急性脑梗死临床研究

杨敏，张磊，赵剡   

  1. 武汉大学中南医院急救中心，湖北武汉市 430071。
  • 收稿日期:2009-10-29 修回日期:1900-01-01 出版日期:2010-01-25 发布日期:2010-01-25
  • 通讯作者: 赵剡

Effects of Early Rehabilitation and Insulin Treatment on Acute Cerebral Infarction

YANG Min, ZHANG Lei, ZHAO Yan.   

  1. Emergency Department of Zhongnan Hospital, Wuhan University, Wuhan 430071, Hubei, China
  • Received:2009-10-29 Revised:1900-01-01 Published:2010-01-25 Online:2010-01-25

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被引次数

41

摘要： 目的观察早期康复联合强化胰岛素治疗对急性脑梗死患者疗效和预后的影响。方法160例无糖尿病史、脑梗死后血糖>6.7 mmol/L的患者分为治疗组和对照组，治疗组在入院后立即给予强化胰岛素治疗，在病后1 d，生命体征稳定、病情无进行性加重时开始康复治疗；对照组按常规治疗。分别于治疗前和治疗4周后，使用神经功能缺损评分、简式Fugl-Meyer评分和Barthel指数比较患者的疗效。结果治疗组评分优于对照组（P＜0.05）。结论早期康复联合强化胰岛素治疗能改善神经功能，提高患者的生活质量。

关键词: 早期康复, 胰岛素治疗, 急性脑梗死, 高血糖

Abstract: ObjectiveTo observe the effect of early rehabilitation and insulin treatment on acute cerebral infarction. Methods160 cases with acute cerebral infarction (without diabetes and the serum glucose were all above 6.7 mmol/L) were divided into treatment group and control group. Each case of both groups was treated with routine treatment, and those in the treatment group were treated with insulin instantly and early rehabilitation in the first day after onset when physical signs were stable and conditions didn't deteriorate. They were assessed with Neurological Impairment, Fugl-Meyer Assessment and Barthel Index 4 weeks after treatment. ResultsCompared with the control group, the neurological function improved obviously in the treated group (P＜0.05). ConclusionEarly rehabilitation and insulin treatment can improve neurological function and the activity of daily living.

Key words: early rehabilitation, insulin treatment, acute cerebral infarction, hyperglycemia