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題名 | 血清白蛋白濃度與腦中風患者復健預後關係之探討 |
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作者姓名(中文) | 魏大森; 林仲哲; 林正宏; 林志成; | 書刊名 | 復健醫學會雜誌 |
卷期 | 23:2 1995.12[民84.12] |
頁次 | 頁153-158 |
分類號 | 415.922 |
關鍵詞 | 白蛋白; 營養不良; 腦中風復健; Albumin; Malnutrition; Stroke rehabilitation; |
語文 | 中文(Chinese) |
中文摘要 | 本研究目的在檢測住院腦中風病人血清白蛋白濃度之高低,並探討白蛋白濃度對此類患者復健治療預後之關係。研究對象包括初次發作、單側無力、住院治療超過二週,無內科或骨骼肌肉系統併發症之患者。計75例病人完成本研究,平均年齡65歲。患者於入、出院時分別測其血中白蛋白濃度及身體功能性參數(包括肢體Brunnstrom等級、軀幹控制能力及Barthel日常生活指數),並統計分析其間相關性。結果顯示入院及出院之腦中風患者罹有低白蛋白血症者分別為59%及43%,入、出院白蛋白濃度與當時患者之肢體功能,除住院時上肢之Brunnstrom等級外,均有顯著相關性。入院時白蛋白濃度愈高,患者住院期間之移位及行走能力之改善愈佳。住院期間白蛋白濃度差異與功能進步之情形無顯著相關性。結論:1.)腦中風患者血中白蛋白濃度與其復健治療之預後有顯著相關性。2.)腦中風患者高比率之營養不良,提醒臨床醫師應更注意此類患者之營養狀態。 |
英文摘要 | The aim of this study is to determine the effect of serum albumin level on the rehabilitation outcome in stroke patients. The criterias of patient studied included first stroke, unilateral weakness, length of stay greater than 2 weeks and free of uncontrolled medical problems (hypertension, diabetes mellitus, cardiac disease) or major musculoskeletal disorders (contracture, amputation). 75 patients with average age of 65-year-old completed this study. We checked the albumin level and functional status of the patients including Brunnstrom stage, trunk control and Barthel index score. Assessments were performed on admission and discharge to identify the correlation between albumin level and functional status of the patient. The percentage of hypoalbuminermia (albumin <3.5 gm/dl) of stroke patients is 59% on admission and 43% on discharge. Albumin level correlates positively with the functional status of the patient both on admission and discharge except Brunnstrom stage of upper limb on admission. The higher the level of albumin on admission, the more the improvement of motility and locomotion of the patient. No significant correlation is noted between the change of albumin level and improvement of functional status. Conclusion: 1. Albumin is a good predictor for the effect of rehabilitation program and outcome in stroke patients. 2. Malnutrition is very popular among stroke patients, and it reminds us to pay more attention to the nutritional status of the patient to promote rehabilitation outcome. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。