白沙瓦急性康复中心脑卒中康复患者的临床分析

Muslim Khan, Aftab Ali, Zakir Khan, Abid Jan, S. Fahad, Samiullah Khan, Mansoor Ahmad, Rakan Abdullah Alwabel
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摘要

所有中风患者都经常经历不同程度的功能缺陷。尽管有脑卒中后功能进步的想法,但缺乏关于急性脑卒中后恢复的信息。目的:了解急性脑卒中患者在急性脑卒中康复中心的功能恢复情况。方法:设计并提取急性康复项目(ARP)中心收治的95例急性脑卒中患者的资料。95例mRS评分为3-4(改良分级量表)的脑卒中后患者(N=95)入组本回顾性队列研究。所有纳入研究的患者在进入中心时和出院前都进行了功能、神经生理和生活质量评估。出院时的评分是功能结果,并用于与入院时的评分(基线评分)进行比较。结果:回顾性队列结果显示,平均住院时间为56.40天。经强化ARP干预后,各项测试成绩均有显著改善。所有患者出院时foley catheter的拔除率(p=0.003),鼻胃管的拔除率(p=0.00)。结论:本研究结果表明,ARP可以帮助急性脑卒中功能缺陷患者改善其功能状态。为了在急性脑卒中康复中找到更有效的干预形式,本研究建议未来的研究
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Clinical Profile of the Stroke Recovering Patients in the Acute Rehabilitation Setting in Peshawar
All stroke patients across the stroke spectrum frequently experience functional deficits of varying degrees. Despite the idea of post-stroke functional advancement, there is a lack of information regarding post-acute stroke recovery. Objective: To track the progress of acute stroke patients admitted to acute stroke rehabilitation centers in terms of functional recovery. Methods: A cohort study was designed and extracted the data of ninety-five (N=95) acute stroke patients admitted to the center for the acute rehabilitation program (ARP). Ninety-five (N=95) post-stroke patients with the mRS 3-4 (Modified ranking scale) admitted to the centers were enrolled for this retrospective cohort study. All enrolled patients for the study went through functional, neurophysiological and quality of life assessment/evaluation was taken at the time of admission to the center and before the discharge from the center. The score at the discharge were the functional outcomes and were used to compare them with the score taken at the time of admission (baseline score). Results: The results of the retrospective cohort showed that the average length of stay was 56.40 days. After the intervention of the intensive ARP significant improvement were observed in all test score. The removal rate for foley catheter (p=0.003), Nasogastric tubes (p=0.00) was found for all patients at the time of discharge. Conclusions: The study's findings demonstrated that ARP can help acute stroke patients who have functional deficits improve their functional status. To find more efficient forms of intervention in the acute-stroke rehabilitation, this study advises future research
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