Deprecated: mysql_connect(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /irehabilitujemy/config/database.php on line 13

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Profilaktyka późnych powikłań udaru mózgu - Fizjoterapeuta. Rehabilitacja. | iRehabilitujemy.pl
    • 16
      lis
      2013

    Profilaktyka późnych powikłań udaru mózgu

    STRESZCZENIE
    Wstęp i cel pracy: Problemem chorych po udarze mózgu jest nie tylko ograniczenie sprawności ruchowej, ale również inne następstwa istotnie wpływające na jakość życia. Celem badania była ocena rodzaju i częstości późnych powikłań związanych z udarem mózgu i ich 
    wpływu na stan funkcjonalny chorych.
     
    Materiał i metody: Badaniem objęto 312 pacjentów leczonych w Oddziale Udarowym Szpitala w Końskich w 2004 roku, a następnie obserwowanych w Poradni Naczyniowej. Po 3, 6 i 12 miesiącach od udaru analizowano rozpowszechnienie i rodzaj powikłań oraz ich związek ze stanem neurologicznym (ocena w skali Repty) i funkcjonalnym (skala Barthel).
     
    Wyniki: Powikłania, których nie obserwowano bezpośrednio po zakończeniu leczenia szpitalnego, wystąpiły u 245 chorych (72%). Najczęstszymi były zaburzenia emocjonalne (depresja, lęk, patologiczny płacz) – 38%, upadki i ich następstwa (25%), zakażenia dróg moczowych (24%), bóle kończyn (15%), otępienie (12%). Rzadziej obserwowano bóle głowy (10%), napady padaczkowe (3%), powtórny udar (2%), zakrzepicę żył głębokich (2%). Bardzo często występowały zaparcia stolca – u 35%. Znamienna była zależność między ciężkością stanu neurologicznego i niepełnosprawnością a liczbą i nasileniem powikłań.
     
    Wnioski: Problemy pacjentów po udarze mogą narastać po zakończeniu leczenia szpitalnego. Profilaktyka, wczesne rozpoznanie i zastosowanie odpowiedniego postępowania czy leczenia może przyczynić się w wielu przypadkach, by chorzy uniknęli poważnych następstw (depresji, zaburzeń lękowych, zakażeń dróg moczowych) i poprawić ich jakość życia.

    Cała praca:
     
    Źródło: Studia Medyczne 2008; 9: 21-26
    Waldemar Brola1, Małgorzata Fudala1, Wojciech Przybylski1,2, Jan Czernicki3 
    1 Oddział Neurologii z Pododdziałem Udarowym Szpitala Specjalistycznego w Końskich
    Ordynator: dr n. med. Waldemar Brola
    2 Zakład Profilaktyki Społecznej, Instytut Zdrowia Publicznego
    Wydział Nauk o Zdrowiu Uniwersytetu Humanistyczno-Przyrodniczego Jana Kochanowskiego w Kielcach
    Kierownik Zakładu: dr hab. Monika Springer
    3 Klinika Rehabilitacji i Medycyny Fizykalnej Uniwersytetu Medycznego w Łodzi
    Kierownik: prof. dr hab. n. med. Jan Czernicki

      

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