《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (05): 557-561.

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肥胖对脑卒中偏瘫康复的影响

王强，孙蓉，张通，杜晓霞，李晁金子，肖琳，宋鲁平   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-05-25 发布日期:2015-05-25

Influence of Obesity on Rehabilitation of Stroke Patients

WANG Qiang, SUN Rong, ZHANG Tong, DU Xiao-xia, LI CHAO Jin-zi, XIAO Lin, SONG Lu-ping   

  1. 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. Department of Neurorehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-05-25 Online:2015-05-25

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摘要： 目的研究肥胖对脑卒中后偏瘫康复的影响。方法脑卒中住院患者118 例，按体质量指数分为正常体重组、超重组和肥胖组，所有患者综合康复12 周。治疗前后采用美国国立研究院卒中量表(NIHSS)、Fugl-Meyer运动功能评定(FMA)、Berg 平衡量表(BBS)和改良Bathel 指数(MBI)进行评定。结果治疗后各组的NIHSS、FMA、BBS以及MBI评分与治疗前相比均有显著改善(P<0.001)，治疗后肥胖组NIHSS 评分、BBS评分、MBI评分均为最差(P<0.05)，各组FMA评分无显著性差异(P>0.05)。结论肥胖不利于脑卒中患者的康复，导致残疾程度高。

关键词: 脑卒中, 肥胖, 康复, 运动功能, 日常生活活动能力, 平衡

Abstract: Objective To study the influence of obesity on outcome of rehabilitation for the hemiplegic post stroke. Methods 118 hospitalized stroke patients were divided into the normal weight, overweight and obesity groups according to the Body Mass Index. All the patients received rehabilitation for 12 weeks. They were assessed with National Institute of Health Stroke Scale (NIHSS), Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS) and modified Barthel Index (MBI) before and after rehabilitation. Results The scores of NIHSS, FMA, BBS and MBI improved significantly after rehabilitation in all the groups (P<0.001), and improved the lest in the obesity group in the scores of NIHSS, BBS and MBI (P<0.05). There was no significant difference in FMA score among groups (P>0.05). Conclusion Obesity influences the outcome of rehabilitation, results in poor functioning.

Key words: stroke, obesity, rehabilitation, motor function, activities of daily living, balance