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康复治疗对脑卒中患者心脏功能的影响
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Abstract:
目的：探讨康复治疗对脑卒中患者心脏功能的影响。方法：选取2022年8月至2023年8月在陕西省人民医院康复医学科住院的脑卒中患者51例，按治疗方案的不同，分为常规干预组和联合干预组，均给予常规药物治疗，联合干预组在常规治疗的基础上联合康复治疗，干预时间均为21天。常规干预组25例，其中男16例，女9例，年龄58~73岁；联合干预组26例，其中男15，女11例，年龄60~72岁。比较两组患者治疗前和治疗完成后的B型利钠肽(BNP)、左室射血分数(LVEF)、心脏搏出量(SV)、左室流出道内径(LOVT)、心率、心肌损伤标志物、C反应蛋白(CRP)。结果：两组患者的BNP、心脏射血分数、心脏搏出量、CRP较治疗前均有改善(P < 0.05)；联合干预组治疗后的BNP、心脏射血分数、心脏搏出量改善幅度优于对照组(P < 0.05)。结论：脑卒中的康复治疗方案在治疗原发病和功能障碍的同时，给患者的心脏功能带来了积极的影响，能使其避免心功能损害，预防心血管疾病的发生与发展，降低危险因素，改善预后。
Objective: To investigate the effect of rehabilitation therapy on cardiac function in patients with stroke. Methods: A total of 51 stroke patients hospitalized in the Department of Rehabilitation Medicine of Shaanxi Provincial People’s Hospital from August 2022 to August 2023 were selected. According to the different treatment plans, they were divided into conventional intervention group and combined intervention group. Both groups were given conventional drug treatment, and the combined intervention group was given standard rehabilitation treatment on the basis of drug treatment. There were 25 patients in the routine intervention group, including 16 males and 9 females, aged 58~73 years; there were 26 patients in the combined intervention group, including 15 males and 11 females, aged 60~72 years. The levels of B-type natriuretic peptide (BNP), left ventricular ejection fraction (LVEF), cardiac stroke volume (SV), left ventricular outflow tract diameter (LOVT), heart rate, myocardial injury markers, and C-reactive protein (CRP) were compared between the two groups before and after treatment. Results: The improvement of BNP, cardiac ejection fraction, cardiac stroke volume and C-reactive protein in the combined intervention group was better than that in the control group after treatment (P < 0.05). Conclusion: The rehabilitation program of stroke not only treats the primary disease and dysfunction, but also brings a positive impact on the heart function of patients, which can avoid cardiac function damage, prevent the occurrence and development of cardiovascular diseases, reduce risk factors, and improve prognosis.
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