腦瘤患者與中風患者復健成效之比較

Functional Outcome of Patients with Brain Tumor after Comprehensive Rehabilitation – a Comparison with Stroke Patients

吳孟純(Meng-Chun Wu) ； 王亭貴(Tyng-Guey Wang) ； 張權維(Chein-Wei Chang)

《中華民國復健醫學會雜誌》 30卷1期 (2002/03) Pp. 19-26

https://doi.org/10.6315/JRMA.200203.0019

摘要

腦瘤患者常因神經功能的受損造成運動功能和日常生活能力的下降，復健治療將有助於恢復其獨立活動及生活的能力。本研究的目的在於比較腦瘤患者和中風患者復健後其日常生活的功能恢復。本研究採用回溯調查的方法，共有34名腦瘤患者在過去5年中於本院復健部住院而納入此實驗，同期34名病灶同側，性別相同和年齡相仿的腦中風患者為控制組，以巴氏量表為病患功能評估的依據，並計算兩組病患住院日期的長短為復健效益之參考。結果顯示腦瘤患者在接受40天的住院復健後其巴氏量表由42.6 ±4.2分進步到78.7±4.4分，其住院復健日數和巴氏量表進步情形與中風患者並無不同。由此結果我們推論，復健治療對腦瘤患者的生活功能有很大的幫助，其效益和腦中風患者一樣。

關鍵字

腦瘤 ； 復健 ； 巴氏量表 ； 日常生活

並列摘要

The impairment of neurological functions is a common problem in patients with brain tumor, which may further disturb their ability of performing activity of daily living and ambulation. Comprehensive rehabilitation program has been reported to resume the above functions of the patients in this group. The purpose of this study was attempted to compare the functional outcome and cost-effect of rehabilitation between the patients with brain tumor and stroke. The study was a retrospective study and the data was obtained by chart review. Thirty-four patients with brain tumor, admitted in a rehabilitation ward, within a period of 5 years were included in this study. Another 34 stroke patients with the correspondent lesion, age and gender were recruited as controls. Barthel index was measured before and after rehabilitation as an indicator of functional outcome. The duration of admission was recorded in order to compare the efficiency of rehabilitation. The result showed the Barthel index of the patients with brain tumor elevated from 42.6±4.2 to 78.7±4.4 after a 42 days’ rehabilitation training. There were no difference between brain tumor and stroke patients in the duration of admission and progress of Barthel index. We concluded that rehabilitation had great benefit in the ability of performing activity of daily living in patients with brain tumor and its cost-effect was similar as stroke rehabilitation.

並列關鍵字

brain tumor ； rehabilitation ； Barthel index ； activity of daily living