华西医学

华西医学

脑卒中康复治疗进展

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脑卒中具有高发病率和高致残率的特点,严重危害人类健康。尽管对卒中症状的认识以及及时就诊系统不断完善,脑卒中治疗手段不断发展,但仍然只有极少数人在脑卒中急性期能够得到溶栓或更进一步的介入治疗,而他们之中仍有很多人遗留各种功能障碍。因此,有效的卒中康复仍然是卒中后续治疗的重要部分。该文通过对近年来国内外有关脑卒中康复治疗的文献进行总结分析,简述了脑卒中后运动障碍、言语和语言障碍、吞咽障碍、情绪障碍、痉挛方面康复治疗的方法及进展,为实现康复治疗方案的最优化提供一些参考。

Stroke is one of the most health-threatening diseases in the world, with high incidence and high morbidity. Despite the development of stroke therapy and improved systems to recognize stroke symptoms and deliver care promptly, only a minority of patients with acute stroke receive thrombolytic therapy, and many of them remain with residual functional deficits. Thus, the need for effective stroke rehabilitation is likely to remain an essential part of the continuum of stroke care for the foreseeable future. This review summarizes and analyzes the results of literatures on stroke rehabilitation in recent years, briefly describes the rehabilitation techniques and progress in dyskinesia, speech barrier, dysphagia, emotional disorder and spasticity after stroke, to provide some references for the optimization of rehabilitation treatment.

关键词: 脑卒中; 功能障碍; 康复治疗

Key words: Stroke; Dysfunction; Rehabilitation

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