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Rehabilitation Practice and Science

Translated Title

血清白蛋白濃度與腦中風患者復健預後關係之探討

Abstract

The aim of this study is to determine the effect of serum albumin level on the rehabilitation outcome in stroke patients. The criterias of patient studied included first stroke, unilateral weakness, length of stay greater than 2 weeks and free of uncontrolled medical problems (hypertensin, diabetes mellitus, cardiac disease) or major musculoskeletal disorders (contracture, amputation).75 patients with avarage age of 65-year-old completed this study. We checked the albumin level and functional status of the patients including Brunnstrom stage, trunk control and Barthel index score. Assessments were performed on admission and discharge to identify the correlation between albumin level and functional status of the patient. The percentage of hypoalbuminemia (albumin ＜ 3.5gm/dl) of stroke patients is 59% on admission and 43% on discharge. Albumin level correlates positively with the functional status of the patient both on admission and discharge except Brunnstrom stage of upper limb on admission. The higher the level of albumin on admission, the more the improvement of motility and locomotion of the patient. No significant correlation is noted between the change of albumin level and improvemet of functional status. Conclusion : 1. Albumin is a good predictor for the effect of rehabilitation program and outcome in stroke patients. 2. Malnutrition is very popular among stroke patients, and it reminds us to pay more attention to the nutritional status of the patient to promote rehabilitation outcome.

Language

Traditional Chinese

First Page

153

Last Page

158

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