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本文总结了100例脑血管病恢复期病人影响康复的主要因素。发现缺血性脑血管病大约63.9%的病人,达到Ⅲ-Ⅶ级康复,这部分病人需要辅助或被动生活,而出血性脑血管病及出血合并梗塞者预后更差,合并有痴呆,精神障碍,失语,关节挛缩变形,尿便功能障碍,颈椎病以及糖尿病者,对病人康复不利。病前有各种神经系统部位症状者以及高血压,冠心病,家族史等,对预后亦有一定影响。从病灶部位角度观察发现,脑叶及多发性梗塞预后差,任何部位脑出血恢复均差,病程长者预后不佳。生物电及血液生化改变对于判定预后有一定参考价值。可因此看出影响脑血管病康复因素不是单一的,而是较复杂的,受机体内外环境、心理、社会以及护理等方面影响。故对于脑血管病康复期治疗上,应针对各种不利因素,进行康复治疗,从而减少病人痛苦,减轻个人、家庭及社会的负担。
This article summarizes the main factors that affect the recovery of 100 patients with cerebrovascular disease recovery. Some 63.9% of patients with ischemic cerebrovascular disease were found to have level III-VII rehabilitation. These patients require assisted or passive living. Patients with hemorrhagic cerebrovascular disease and bleeding complicated with infarction have a worse prognosis with dementia and mental disorders , Aphasia, contracture contracture, urinary tract dysfunction, cervical spondylosis and diabetes, adversely affected the patient’s recovery. There are various symptoms of the nervous system before the disease as well as hypertension, coronary heart disease, family history, etc., have a certain impact on the prognosis. From the perspective of the lesion site found that lobulation and multiple infarcts poor prognosis, any site of cerebral hemorrhage were poor recovery, the poor prognosis of elderly patients. Bioelectricity and blood biochemical changes have a certain reference value for the determination of prognosis. Therefore, it can be seen that the factors affecting the rehabilitation of cerebrovascular disease are not single but rather complicated, and are influenced by the environment, psychology, society and nursing in and out of the body. Therefore, for the treatment of cerebrovascular disease during the rehabilitation period, various unfavorable factors should be taken for rehabilitation so as to reduce the suffering of patients and reduce the burden on individuals, families and the community.