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血清白蛋白水平对急性期脑血管意外患者运动功能恢复的影响 |
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杨朝晖1 李洁明1 段代邺1
摘要 目的：探讨血清白蛋白(SAL)对急性期脑血管意外患者运动功能恢复的影响。方法：采用单盲前瞻性研究方法，将病情严重程度相同的40例患者按SAL分为高白蛋白组(SAL≥40g/l)和低白蛋白组（SAL<40g/l），分析比较两组患者在急性期运动功能恢复情况。结果：AH组的合并症发生率显著低于低白蛋白组（P<0.01）；而高白蛋白组治疗后的MAS积分及积分之差、MBI积分之差均显著性高于低白蛋白组。结论：SAL能够影响急性期脑血管病患者肢体运动功能的恢复。应对脑血管病患者的营养状况给予足够的重视，把多方面营养支持治疗作为对脑血管病患者综合治疗过程中的重要方面。
关键词 白蛋白；脑血管意外；运动功能；康复
Effects of serum albumin level on motor functional outcome of the patients with acute cerebral vascular accident/YANG Zhaohui, LI Jiemin,DUAN Daiye//Chinese Journal of Rehabilitation Medicine, 1998, 13(3):116～119
Abstract Objective：To observe the relationships of serum albumin level (SAL) with motor functional recovery in acute cerebrovascular accident (CVA) patients. Method：A unilateral blinded and prospective study was adopted. We divided the 40 “middle-band" patients into two groups according to the SAL:higher serum albumin level group(AH，SAL≥40g/l);lower serum albumin level group(AL，SAL<40g/l).Result：There was a 9.52% complication rate for AH group and a 52.63% for AL group (P<0.01), but the improvement of motor assessment scale (MAS) scores (20.52±8.98) and modified barthel index (MBI) scores (26.00±16.98) in AH group were both significantly higher than that of AL group (10.89±6.15,15.33±9.47), (P＜0.01, P＜0.005 separately).Conclusion：SAL can affect acute CVA functional outcome. So we should pay more attention to the acute CVA patients′ nutrition and recommended that multidimentional nutritional support programs be included as part of the course of therapy.
Author′s address Dept. Rehabilitation ,Union Hospital, Tongji Medical University, Wuhan, 430022
Key words Serum albumin；Cerebrovascular accident；Motor function；Rehabilitation
近年来脑血管意外(cerebrovascular accident,CVA)所致的偏瘫已成为威胁中老年人生活质量的主要原因之一。为了提高CVA患者的肢体运动功能及其日常生活活动(activities of daily living, ADL)能力，采用早期康复治疗,应用药物与运动疗法、物理疗法、心理疗法、支持疗法等相结合的综合治疗的模式，并[1] [2] 下一页
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