缺血缺氧性脑病恢复期综合康复的疗效

doi:10.3969/j.issn.1006-9771.2018.09.021

Abstract

Abstract: Objective To investigate the effect of comprehensive rehabilitation on ischemic-hypoxic encephalopathy at recovery stage. Methods From January, 2014 to December, 2016, the general data, rehabilitation evaluation, main problems, rehabilitation methods and the functional scores from 28 patients with ischemic-hypoxic encephalopathy were retrospectively analyzed.Results The patients improved in the scores of Mini-Mental State Examination, motor function and balance of Fugl-Meyer Assessment, Holden Gait Classification and modified Barthel Index after rehabilitation (Z>2.588, P<0.05).Conclusion The patients with ischemic-hypoxic encephalopathy may be benefited from comprehensive rehabilitation in cognition, motor function, walking and activities of daily living, etc.

Key words: ischemic-hypoxic encephalopathy, rehabilitation, assessment

CLC Number:

R742

GAO Fei, HE Jing-jie, LIU Li-xu, SHAN Lei, HU Xue-yan, LIU Ping. Effect of Comprehensive Rehabilitation on Ischemic-hypoxic Encephalopathy at Recovery Stage[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(9): 1090-1094.

References

[1] 朱镛连,张皓,何静杰. 神经康复学[M]. 北京:人民军医出版社, 2010.
[2] 范晨雷,张再强. 成人缺血缺氧性脑病的磁共振特征探讨[J]. 中国急救医学, 2004, 24(12): 923-924.
[3] 苏玉盛,马云川,尚建文,等. 成人缺血缺氧性脑病脑葡萄糖代谢减低的特点和分级[J]. 中国康复理论与实践, 2012, 18(8): 721-723.
[4] 李艺,杨晓苏,肖波. 成人心肺复苏后缺血缺氧性脑病的临床与影像学分析[J]. 中华医学杂志, 2012, 92(23): 1599-1602.
[5] Peberdy MA, Callaway CW, Kronick SL.Part 9: post-cardiac arrest care: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care[J]. Circulation, 2010, 122(suppl 3): S768-S786.
[6] Kim F, Olsufka M, Carlbom D, et al.Pilot study of rapid infusion of 2 L of 4 degrees C normal saline for induction of mild hypothermia in hospitalized, comatose survivors of out-of-hospital cardiac arrest[J]. Circulation, 2005, 112(5): 715-719.
[7] 谢富华,张姗姗,熊旭明,等. 亚低温启动时间对成人缺血缺氧性脑病预后的影响[J]. 实用医学杂志, 2012, 28(22): 3748-3750.
[8] 戢翰升,汪林涛,徐峰,等. 重度颅脑损伤亚低温治疗的温度、时机和时程对疗效的影响[J]. 中国临床神经外科杂志, 2005, 10(1): 45-46.
[9] 孙漓. 复苏后综合征患者神经功能评估与脑复苏的现状[J]. 中国急救医学, 2010, 30(5): 450-454.
[10] 李红梅,杨林,郑燕. 新生儿缺血缺氧性脑病不同时期高压氧治疗疗效观察[J]. 西南国防医药, 2006, 16(3): 299-300.
[11] 胡慧军,潘晓雯,孟祥恩,等. 不同疾病导致意识障碍患者高压氧治疗时机的把握[J]. 中国康复, 2007, 22(4): 238-240.
[12] 张丽娜,殷竞争,滕军放. 成人心肺复苏后缺血缺氧性脑病的诊疗进展[J]. 中国实用神经疾病杂志, 2014, 17(23): 45-47.
[13] 赵丽云,王金龙,龚玉华,等. 心肺复苏后大剂量糖皮质激素对脑复苏的影响[J]. 内蒙古医学杂志, 2003, 35(1): 1-4.
[14] Kuklin V.Survival rate in patients after sudden cardiac arrest at the university hospital of northern Norway treated with or without opioids: a retrospective evaluation[J]. Saudi J Anaesth, 2013, 7(3): 310-314.
[15] Zhao M, Zhu P, Fujino M, et al.Oxidative stress in hypoxic-ischemic encephalopathy: molecular mechanisms and therapeutic strategies[J]. Int J Mol Sci, 2016, 17(12): E2078.
[16] Genc S, Koroglu TF, Genc K, et al.Erythropoietin and the nervous system[J]. Brain Res, 2004, 1000(1-2): 19-31.
[17] 郭敏,巨容,刘秀香,等. 重组人促红细胞生成素治疗新生儿缺氧缺血性脑病疗效分析[J]. 中华神经医学杂志, 2007, 6(5): 523-525.
[18] Shankaran S.Outcomes of hypoxic-ischemic encephalopathy in neonates treated with hypothermia[J]. Clin Perinatol, 2014, 41(1): 149-159.
[19] 李艳红,张国忠,李娜,等. 重复经颅磁刺激治疗卒中后失语[J]. 国际脑血管病杂志, 2014, 22(6): 426-428.
[20] 王梦,潘小平,邓伟华,等. 重复经颅磁刺激治疗轻度认知功能损害的系统评价与Meta分析[J]. 中国循证医学杂志, 2015, 15(12): 1393-1400.
[21] 叶靓,叶祥明,陶丹红,等. 音乐治疗对卒中后抑郁伴左侧基底节失语的康复效果[J]. 中国康复理论与实践, 2017, 23(3): 330-333.
[22] 张媛,姚永坤,卢香云. 音乐和语言治疗在卒中后非流畅性失语症患者中的疗效观察[J]. 中华神经科杂志, 2015, 48(4): 274-278.
[23] 杨坦,刘华,王肇光,等. 应用于缺血缺氧性脑病治疗的神经干细胞移植:现实与未来[J]. 中国组织工程研究, 2014, 18(1): 143-148.

Effect of Comprehensive Rehabilitation on Ischemic-hypoxic Encephalopathy at Recovery Stage

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