在早期中风康复期的失自和活动
Amelia Tenberg1, Nozomi Tahara2, Amit Grewal3
1Brain Rescue Unit, Department of Neurology, Johns Hopkins School of Medicine, 600 N Wolfe St; Phipps 486, Baltimore, MD, 21287, USA.
概括
脑卒中后的失自性是常见的,影响恢复和增加并发症. 需要使用标准化方法进行更多的研究,以了解其影响并改善患者的治疗结果.
科学领域:
- 神经学 神经学
- 心血管科学 心血管科学
- 关键护理医学 关键护理医学
背景情况:
- 在中风后,维持大脑输液是至关重要的,但自我调节可能会受到损害.
- 血压 (BP) 的波动会造成中风扩张或出血转变的风险.
- 疑似Dysautonomia,或自主神经系统功能障碍,在急性中风中很常见.
研究的目的:
- 进行对科学现状的范围审查,以了解急性中风中的dysautonomia.
- 了解失能症的鉴定,治疗和对中风患者结果的影响.
- 总结当前临床床治疗方法来检测dysautonomia.
主要方法:
- 在多个数据库中进行了范围审查.
- 使用与急性中风和dysautonomia相关的关键术语.
- 采用严格的文献识别,评估和总结过程.
主要成果:
- 在中风患者中观察到高患病率的dysautonomia.
- 在诊断措施和dysautonomia的定义中存在显著的变化.
- 失能症与功能不良和中风后并发症有关.
结论:
- 目前关于急性中风中断的证据受到异质性和缺乏高质量的研究的限制.
- 需要对 dysautonomia 的标准化定义和测量工具.
- 为了未来的研究,制定临床整合dysautonomia措施的路线图至关重要.
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