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RESULTS OF EARLY MOTOR FUNCTION REHABILITATION IN PATIENTS WITH ACUTE CEREBRAL INHEMIA WHO RECEIVED MECHANICAL THROMOBILE REHABILITATION AT THE STROKE CENTER - PHU THO PROVINCIAL GERD FROM 01/2022 – 6/2023
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Abstract
Objective: Evaluate the results of early motor function recovery in patients with acute ischemic stroke undergoing mechanical thrombectomy at the Stroke Center - Phu Tho Provincial General Hospital. Methods: Prospective study with intervention, longitudinal follow-up, on 93 patients with acute cerebral infarction undergoing mechanical thrombectomy at the Stroke Center - Phu Tho Provincial General Hospital, including 40 patients received early rehabilitation from 24-48 hours, 53 patients received rehabilitation after 48 hours after the intervention. Assessment time is D0 (starting day of rehabilitation), D7 (day 7th), D90 (day 90th) using NIHSS, Barthel, mRS scales, from January 2022 - June 2023. Results: In the 24-48 hours group, the average time to start rehabilitation was 28,3± 11,7 hours; the average number of days in the hospital is 14 days. In the group after 48 hours, the average time to start rehabilitation is 73,8 ± 21,5 hours; The average hospital stay is 21 days. At day 7, the NIHSS score improvement rate in the 24-48 hours group and after 48 hour group were 82,5% and 82,9%, respectively; mRS score improvement rate (mRS 0-2) was 55% and 54,7%, respectively; Barthel score improvement rates were 65% and 58,4%. At D90, the Barthel score improvement rate in the 24-48 hours group and the after 48 hours group were 82,5% and 72,2%, respectively; mRS score improved significantly in the 24–48 hour group with mRS score 0-2 accounting for 75% compared to 60% in the group after 48 hours. No patient encountered complications during the rehabilitation process. Conclusion: Early mobilization rehabilitation in patients with acute ischemic stroke undergoing mechanical thrombectomy helps improve patient function and reduces secondary injuries, especially for patients who receive early rehabilitation within 24-48 hours from the time of after intervention point.
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Keywords
Early recovery of motor function, mechanical thrombectomy intervention.
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