肥胖对脑卒中偏瘫康复的影响  

Influence of Obesity on Rehabilitation of Stroke Patients

作　　者：王强[1,2] 孙蓉[1,2] 张通[1,2] 杜晓霞[1,2] 李晁金子[1,2] 肖琳[1,2] 宋鲁平[1,2] 

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院神经康复科,北京市100068

出　　处：《中国康复理论与实践》2015年第5期557-561,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中国康复研究中心青年科研基金(No.2009-Q5);中央级公益性科研院所基本科研业务费专项资金(No.2014CZ-37);中国康复研究中心科研基金(No.2012-29)

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。Objective To study the influence of obesity on outcome of rehabilitation for the hemiplegic post stroke. Methods 118 hospi-talized stroke patients were divided into the normal weight, overweight and obesity groups according to the Body Mass Index. All the pa-tients received rehabilitation for 12 weeks. They were assessed with National Institute of Health Stroke Scale （NIHSS）, Fugl-Meyer Assess-ment （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.

关 键 词：脑卒中 肥胖 康复 运动功能 日常生活活动能力 平衡 

分 类 号：R743.3[医药卫生—神经病学与精神病学]