产后格林-巴勒综合征康复:多学科管理和功能预后的一例报告。

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL
International Medical Case Reports Journal Pub Date : 2025-08-26 eCollection Date: 2025-01-01 DOI:10.2147/IMCRJ.S529582
Siwan Luo, Bangkui Zhang, Yixuan Huang, Jingwen Yan, Xiaolan Lin, Xue Zhang
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引用次数: 0

摘要

吉兰-巴罗综合征(GBS)是一种严重的急性神经系统疾病,可在怀孕和产后期间发生,对孕产妇健康构成重大风险。严重的病例可能迅速发展为全身性瘫痪或危及生命的并发症,这强调了早期康复干预以减轻急性后遗症的紧迫性。本报告详细介绍了一名27岁女性在妊娠36周剖宫产后诊断为GBS的康复过程。最初表现为肢体麻痹、呼吸衰竭和吞咽困难,接受免疫球蛋白治疗和机械通气;然而,持续的缺陷需要转移到专门的康复治疗。这是一个多学科的项目,包括呼吸训练(清痰、高流量氧气、说话阀的使用)、吞咽康复(口腔运动练习、喉抬高训练)、物理治疗(关节活动、电刺激)和心理支持。在该方案下,患者实现了呼吸机独立,发声时间从10分钟延长到1小时,吞咽更安全,误吸风险降低。尽管取得了这些进展,但残余的挑战包括肢体运动恢复不完全,口腔肌肉组织薄弱导致的食物溢出,以及持续的感觉障碍。她的进展强调了早期多学科康复在恢复产后GBS关键功能中的作用,而持续的缺陷强调了长期适应性护理的必要性。本案例为优化孕产妇GBS管理提供了可行的见解,倡导针对身心康复的综合护理模式,以推进全球孕产妇健康优先事项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postpartum Guillain-Barré Syndrome Rehabilitation: A Case Report on Multidisciplinary Management and Functional Outcomes.

Guillain-Barré syndrome (GBS), a serious acute neurological disorder that can occur during pregnancy and the postpartum period, poses significant risks to maternal health. Severe cases may rapidly progress to generalized paralysis or life-threatening complications, underscoring the urgency of early rehabilitation interventions to mitigate acute sequelae. This report details the rehabilitation journey of a 27-year-old female diagnosed with GBS following cesarean delivery at 36 weeks of gestation. Initially presenting with limb paralysis, respiratory failure, and dysphagia, she received immunoglobulin therapy and mechanical ventilation; however, persistent deficits necessitated transfer to specialized rehabilitation. A multidisciplinary program integrated respiratory training (sputum clearance, high-flow oxygen, speaking valve use), swallowing rehabilitation (oral motor exercises, laryngeal elevation training), physical therapy (joint mobility, electrical stimulation), and psychological support. Following this regimen, she achieved ventilator independence, extended phonation duration from 10 minutes to 1 hour, and demonstrated safer swallowing with reduced aspiration risk. Despite these gains, residual challenges included incomplete limb motor recovery, food spillage due to weak oral musculature, and persistent sensory disturbances. Her progress highlights the role of early multidisciplinary rehabilitation in restoring critical functions in postpartum GBS, while persisting deficits emphasize the need for long-term adaptive care. This case provides actionable insights for optimizing maternal GBS management, advocating integrated care models addressing physical and psychological recovery to advance global maternal health priorities.

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来源期刊
International Medical Case Reports Journal
International Medical Case Reports Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
135
审稿时长
16 weeks
期刊介绍: International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.
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