脑卒中后失言症对生活质量的影响:一个比较的横截面研究
Anupama Kurup1, Andrea Alby1, Anna M Saju1
1Department of Physical Medicine and Rehabilitation, Amrita School of Medicine, Kochi, IND.
Cureus
|September 16, 2024
概括
缺口症在缺血性中风后显著恶化生活质量 (QoL),特别是在放射性严重程度较高的情况下. 高压氧气疗法 (HBOT) 改善了中风幸存者的QOL,无论其口腔失语状态如何.
科学领域:
- 神经学 神经学
- 脑卒中医学 脑卒中医学
- 康复 康复 康复 康复
背景情况:
- 失言症是缺血性中风的常见后果,影响沟通和日常功能.
- 生活质量 (QoL) 是中风恢复的关键结果指标.
- 通过阿尔伯塔中风计划早期CT评分 (ASPECTS) 评估的放射性严重程度,影响中风的结果.
研究的目的:
- 根据放射性严重程度,分析失语症对缺血性中风患者的QoL的影响.
- 为了比较脑卒中幸存者之间的QOL,有和没有类似放射性严重性的失语症.
- 评估高压氧气疗法 (HBOT) 对中风幸存者的 QoL 的影响.
主要方法:
- 首次中脑动脉 (MCA) 缺血性中风的患者被按ASPECTS (高,中,低) 分类.
- 脑卒中失言症生活质量 (SAQoL) 尺度评估了QoL.
- 纳入标准:年龄40-65岁,中风后12-16个月,MCA分布,第一次缺血性中风.
主要成果:
- 在93名缺血性中风患者中,有87%的患者的ASPECT值中等至低.
- 移动和转移是最受损害的QOL方面.
- 在阿法西亚患者中,QoL与更高的ASPECT和更大的中风影响负相关 (p=0.001).
- 接受HBOT的患者比非接受者显著改善了QOL (p=0.02和0.03).
结论:
- 放射性中风的严重程度与中风后失语症中的QoL有关.
- 即使具有相似的放射性严重程度,阿法西亚也会对QoL产生负面影响.
- 在中风幸存者中,HBOT与改善的QoL有关.
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