摘要
对１４５例脑卒中患者发病后６个月时ＡＤＬ的评定结果显示１４项日常活动中有７项活动的非自理率为２０．７％～３１．７％；洗澡和洗衣活动受损最重，而吃饭和吃药活动受损最轻。缺血性脑卒中（ＩＣＡ）患者ＡＤＬ能力的损害明显重于出血性脑卒中（ＨＣＡ）；在ＨＣＡ和ＩＣＡ患者均是与智力因素相关的ＡＤＬ能力的损害明显重于与体力因素相关的ＡＤＬ能力损害。作者强调对脑卒中患者ＡＤＬ的评定要统一量表和评定时间；要加强ＨＣＡ患者急性期的抢救治疗；在脑卒中患者的康复治疗中要着重于与智力因素相关的ＡＤＬ能力的康复训练。
ADL of
145 stroke patients was assessed for six months after the onset. No
self caring rates of seven activities was 20 7～31 7 percent in
all fourteen activites. The impairment of bathing and clothes washing
was the most serious and that of eating and taking medicine was the
slightest in the fourteen activites. The impairment ability of ADL
was more serious in patients with ICA than that in patients with HCA.
The impairment ability of intellect ADL was more serious than that
ability of physical impairment in both patients with HCA and ICA. The
authors stressed that we should use same scale and have same
assessing time in the studying of ADL on stroke patients. The
emergency treatment of patients with HCA should be strengthened. The
rehabilitation training of the ability of intellect IADL should be
high lighted during the rehabilitation of stroke patients. Authors
address: Department of Neurology, The First People Hospital,
Lianyungang City, Jiangsu Province, 222002
出处
《中国康复医学杂志》
CAS
CSCD
1996年第4期161-162,165,共3页
Chinese Journal of Rehabilitation Medicine
关键词
中风
日常生活活动
临床观察
Hemorrhagic
cerebral apoplexy
Ischemic cerebral apoplexy
Activities of daily
living
