《中国康复理论与实践》

《中国康复理论与实践》

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脑卒中患者运动性疲劳的评定和治疗①

孙乐鹏1，刘杰2，代新年2   

  1. 1. 潍坊医学院临床医学院，山东潍坊市261000；2.济南军区青岛第二疗养院全军神经疾病诊疗康复中心，山东青岛市266071。
  • 出版日期:2016-06-25 发布日期:2016-07-04

Exercise-induced Fatigue of Stroke Patients: Assessment and Treatment (review)

SUN Le-peng1, LIU Jie2, DAI Xin-nian2   

  1. 1. Weifang Medical University, Weifang, Shandong 261000, China; 2. Department of Rehabilitation, Qingdao Second Sanatorium of Jinan Military Region, Qingdao, Shandong 266071, China
  • Published:2016-06-25 Online:2016-07-04

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摘要： 脑卒中患者经常发生运动性疲劳，影响肢体功能的恢复和生活质量的提高，并可能与死亡率的升高有关。疲劳严重度量表(FSS)、疲劳评定量表(FAS)等量表适用于主观感受的评定；闪光融合频率和反应时是重要的生理检测指标；血乳酸、肌酸激酶、血清色氨酸和葡萄糖是重要的生化检测指标。有效治疗仍处于探索阶段，主要包括药物治疗、物理治疗和营养饮食治疗等；中医中药有广阔的前景，下肢负压-常压恢复舱和经皮穴位电刺激(TEAS)对于缓解疲劳以及帮助患者尽快恢复到正常状态有一定的作用，认知疗法联合分级活动训练应该得到更多的重视。

关键词: 脑卒中, 运动性疲劳, 评定, 治疗, 综述

Abstract: Stroke patients often suffer from fatigue after exercise, which influences the limb function and the quality of life. Also, it may be related to the increase of mortality. Fatigue Severity Scale, Fatigue Assessment Scale and other scales are suitable for the subjective assessment. The critical flicker frequency and the reaction time are important physiological indexes. And blood lactic acid, creatine kinase, serum tryptophan and glucose are significant biochemical indexes. The effective treatment for the exercise-induced fatigue is still in the exploratory stage, it mainly includes drug therapy, physical therapy, nutrition diet, and so on. Traditional Chinese medicine may have broad prospects. The lower limb negative pressure-atmospheric pressure recovery tank and the transcutaneous electrical acupoint stimulation play a role in helping the patients to recovery. Also the cognitive and graded activity training needs more attention.

Key words: stroke, exercise-induced fatigue, assessment, treatment, review