Rehabilitation after stroke
Rehabilitation after stroke
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DOI：
10.1056/nejmcp043511
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发表时间：
2005-04-21
影响因子：
158.5
通讯作者：
Dobkin, BH
中科院分区：
文献类型：
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作者：
Dobkin, BH
前言这篇日志以一个突出临床常见问题的病例小插曲开始。然后提出支持各种战略的证据，然后审查现有的正式准则。文章结尾是作者的临床建议。阶段一名66岁的男子突然不能说话，不能听从指示，也不能移动他的右臂和腿。他在90分钟内接受了组织纤溶酶原激活剂治疗。四天后，他的言语仅限于费力地回答是或否。他不能走路或使用右臂，自我护理任务需要最大限度的帮助。你对他和他的家人有什么建议，关于他的残疾康复？临床问题在美国、欧洲和澳大利亚，45岁以上的人群中，每年每10万人中约有400人首次中风。中风是......
ForewordThisJournalfeature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.StageA 66-year-old man was suddenly unable to speak, follow directions, or move his right arm and leg. He received tissue plasminogen activator within 90 minutes. Four days later, his speech was limited to effortful answers of yes or no. He could not walk or use his right arm, and self-care tasks required maximal assistance. What advice would you offer him and his family regarding rehabilitation for his disabilities?The Clinical ProblemApproximately 400 persons per 100,000 population over the age of 45 years have a first stroke each year in the United States, Europe, and Australia. Stroke is the . . .