Reducing stroke-associated pneumonia through pulmonary rehabilitation in moderate-to-severe acute ischemic stroke.

IF 2.8 3区医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL

European Journal of Medical Research Pub Date : 2025-03-26 DOI:10.1186/s40001-025-02451-4

QingSha Zhang, HongKun Liu, Jie Sun, HongGe Shi

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引用次数: 0

Abstract

Objectives: This study investigated the effect of a comprehensive pulmonary rehabilitation (CPR) program on stroke-associated pneumonia (SAP) in patients with moderate-to-severe acute ischemic stroke (AIS) after thrombolysis.

Methods: This study was a prospective randomized controlled intervention study. Eighty patients with moderate-to-severe AIS were divided into the conventional rehabilitation (CR) and CPR groups. Demographic and general clinical data were collected. Patients were evaluated by the Fatigue Severity Scale (FSS), Fugl-Meyer Assessment (FMA), and Fugl-Meyer balance (FMB). The incidence of pneumonia in the acute phase and the treatment efficacy were compared.

Results: FSS scores at T1 and T2 (2 weeks and 4 weeks after treatment), FMA scores, and FMB scores were higher than those at T0 (first day of admission). FSS scores in the CPR group were lower, while FMA and FMB scores were higher than those in the CR group at T1 and T2. The incidence of pneumonia was 10.00% in the CPR group and 25.00% in the CR group. The rehabilitation effective rate was 92.50% in the CPR group and 80.00% in the CR group, but the proportion of rehabilitation effect in the CPR group was higher than that in the CR group.

Conclusions: CPR program improves fatigue and motor function and reduces the occurrence of SAP in AIS patients.

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中重度急性缺血性脑卒中患者通过肺康复治疗减少卒中相关肺炎。

目的：本研究探讨综合肺康复（CPR）方案对中重度急性缺血性卒中（AIS）患者溶栓后卒中相关肺炎（SAP）的影响。方法：本研究为前瞻性随机对照干预研究。80例中重度AIS患者分为常规康复（CR）组和CPR组。收集了人口统计学和一般临床资料。采用疲劳严重程度量表（FSS）、Fugl-Meyer评估量表（FMA）和Fugl-Meyer平衡量表（FMB）对患者进行评估。比较两组急性期肺炎的发病率及治疗效果。结果：治疗后T1、T2（治疗后2周、4周）FSS评分、FMA评分、FMB评分均高于T0（入院第1天）。T1、T2时CPR组FSS评分低于CR组，FMA、FMB评分高于CR组。CPR组肺炎的发生率为10.00%，CR组为25.00%。CPR组的康复有效率为92.50%，CR组为80.00%，但CPR组的康复效果比例高于CR组。结论：心肺复苏术可改善AIS患者的疲劳和运动功能，减少SAP的发生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Medical Research 医学-医学：研究与实验

CiteScore

3.20

自引率

0.00%

发文量

247

审稿时长

>12 weeks

期刊介绍： European Journal of Medical Research publishes translational and clinical research of international interest across all medical disciplines, enabling clinicians and other researchers to learn about developments and innovations within these disciplines and across the boundaries between disciplines. The journal publishes high quality research and reviews and aims to ensure that the results of all well-conducted research are published, regardless of their outcome.