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World Neurosurg ; 149: 470-480, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33940698

RESUMEN

OBJECTIVE: To analyze neurological function recovery and the impact of rehabilitation nursing in patients with cerebral stroke after treatment to aid clinical diagnosis and treatment of cerebral stroke. METHODS: The study comprised 140 patients who were hospitalized in the neurology department for magnetic resonance angiography examination. Patients were divided into a treatment group (70 patients) and a control group (70 patients) based on treatment plan. Digital subtraction angiography was regarded as the gold standard diagnostic examination. In patients in both groups, magnetic resonance angiography features of the M1 segment of the middle cerebral artery and diagnostic specificity and sensitivity were recorded. An activities of daily living score was used to assess neurological function of patients before and after rehabilitation. RESULTS: The activities of daily living scores of patients in both groups increased significantly after treatment (P < 0.05); the scores of patients in the treatment group increased more significantly (P < 0.05). The total effective rate was 89% in the treatment group and 60% in the control group. The difference between the 2 groups was statistically significant (P < 0.05). After treatment, the degree of M1 segment stenosis in both groups was better than before treatment, and the number of collateral circulation branches was increased; the improvements in the treatment group were more significant (P < 0.05). CONCLUSIONS: Rehabilitation nursing could greatly improve the stenosis of blood vessels in patients with acute cerebral stroke and promote the establishment of collateral circulation, thereby effectively enhancing the recovery of neurological function and strengthening the ability of patients to perform activities of daily living.


Asunto(s)
Angiografía de Substracción Digital/métodos , Angiografía por Resonancia Magnética/métodos , Recuperación de la Función/fisiología , Enfermería en Rehabilitación/métodos , Rehabilitación de Accidente Cerebrovascular/métodos , Accidente Cerebrovascular/diagnóstico por imagen , Actividades Cotidianas , Adulto , Anciano , Angiografía de Substracción Digital/tendencias , Isquemia Encefálica/diagnóstico por imagen , Isquemia Encefálica/rehabilitación , Femenino , Cabeza/diagnóstico por imagen , Humanos , Angiografía por Resonancia Magnética/tendencias , Masculino , Persona de Mediana Edad , Cuello/diagnóstico por imagen , Enfermería en Rehabilitación/tendencias , Rehabilitación de Accidente Cerebrovascular/tendencias
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