对脑卒中后疲劳治疗干预的研究进展

A review on the treatment and intervention of post-stroke fatigue

卒中后疲劳作为一种多维度的认知、情感和意识体验,其特征是早期疲惫、厌倦、缺乏精力以及不愿意主动进行活动,并且往往无法利用休息使疲劳状况有所好转。有23%~85%的脑卒中幸存患者经历过这种疲劳和衰弱症状,但这种常见并长期存在的后遗症状反而得不到医疗工作者、患者以及患者家属的重视,严重影响了卒中后幸存患者的康复情况和生活质量。近年关于脑卒中后疲劳的相关研究仍然集中在卒中发生后导致疲劳的发病机制及危险因素等方面,且存在不少争议,对于卒中后疲劳治疗干预方面的研究仍然较少。可以明确的是,目前还没有一种治疗干预措施能够明显改善卒中后的疲劳症状,但是,对患者病情进行评估,结合西药治疗、中医药治疗、物理治疗等治疗手段,有助于减轻卒中后的疲劳症状,推动患者未来的康复进程,改善生活质量。因此,文章就脑卒中后疲劳治疗干预的相关研究进行综述,讨论了卒中后疲劳的基本特点以及现有研究中的治疗干预手段,期待未来有更多关于卒中后疲劳治疗干预的设计严谨的大型实验以及基础研究,加强对卒中后疲劳治疗干预的进一步认识,为日后卒中后疲劳患者的治疗工作提供更好的理论参考。

Post-stroke fatigue is a multidimensional cognitive,emotional,and conscious experience,which is characterized by early fatigue,boredom,lack of energy,and reluctance to initiate activities.It is also the inability to use rest to relieve the fatigue.Approximately 23%to 85%of stroke survivors experience the above-mentioned situation and debilitating symptoms.However,the health care providers,patients,and even their families do not attach great importance to this common and long-lasting sequelae,seriously further affecting the recovery and quality of life of post-stroke survivors.In recent years,the relevant studies on post-stroke fatigue still focus on the pathogenesis and risk factors of post-stroke fatigue,and there are many controversies.There are still few studies on the treatment and intervention of post-stroke fatigue.It is clear that there is no therapeutic intervention that can significantly improve the fatigue symptoms after stroke.However,the assessment of patients’conditions combined with Western medicine therapy,traditional Chinese medicine therapy,physical therapy and other therapeutic means can reduce the fatigue symptoms after stroke,promote the rehabilitation process of patients in the future,and improve the quality of life.Therefore,this paper reviews relevant studies on post-stroke fatigue treatment intervention,discusses the basic characteristics of post-stroke fatigue and treatment intervention means in existing studies,and looks forward to more large-scale experiments and basic studies with rigorous design on post-stroke fatigue treatment intervention in the future,so as to strengthen further understanding of post-stroke fatigue treatment intervention,with a prospect of providing a better theoretical reference for the treatment of post-stroke fatigue patients in the future.