| 摘要: | 腦中風自1963至2005年，一直為台灣十大死因之前三名。每年約新增51000名中風患者，其中約有25000人在六個月黃金復健期內無法痊癒而需要接受長期照護，是個人、家庭與社會極為沉重的一種負擔。 本研究在探討食品對中風超過六個月患者之中風肢體與語言的障礙，及中重度中風患者生活自理能力與生活品質之輔助效益。 本研究針對中風超過六個月、並經過電腦斷層掃瞄確診之患者，分AB兩組，進行8週對照性實驗。實驗A組，採現行照護方案，加用機能性食品；對照B組，只用現行照護方案。研究工具使用NIH Stroke Scale（NIHSS）、The Barth el Index、中風復健進度輔助指標、訪談錄影等，評估食品之輔助效益。 在本研究之17 位參與者中，A組9位，B組7位，共16位完成。結果發現，實驗組NIHSS的總分改善率達33.1% （組間P=0.002 < 0.01,組內P=0.002 < 0.01），Barthel Index總分改善率達65.4%（組間P=0.005 < 0.01,組內P=0.008 < 0.01）。另外，A組9位中有5位因中風而失語者，其中4位的影音實錄呈現非常具體而動人的進展。 顯示中風超過六個月後之患者，仍可經由給予食品達到下列效果：1.肢體、語言障礙可能恢復。 2.中風照護需求可能降低。3.生活品質可能提昇。
Evaluation of Food Supplements on Moderate Stroke Patients From 1963 to 2005, stroke is the number 3 cause of death in Taiwan. With a increasing number of 51,000 every year.About 25,000 stroke patients are unable to satisfactory self-improvement of their health within 6 months, which is the golden period of self-recovery.Therefore,they are fallen into the long-term care situation, which require the expensive costs and lead to the personal, family, and society great burden. This research aimed at the evaluation of the effect of supplemental food on moderate handicapped stroke patients. Patients suffered from stroke more than 6 months and were confirmed by computer tomography was classfied into A and B (the control) groups for 8 weeks of investigation. Besides present care system, the tests (A) group adopted supplemental food. On the other hand, the control only adopted the care system. The effect of supplemental food was evaluated by NIH Stroke he Barthel index, the stroke recovery progress index, and interview video. In this study, there were 9 patients grouped into A and 7 into B. Besides, 16 of the 17 participants accomplished the test work. Total rate of improvement for the test group was 33.1% （P=0.002 < 0.01 for intergroup test, and P=0.002 < 0.01 for intragroup test） by NIHSS and 65.4%（P=0.005 < 0.01 for intergroup test, and P=0.008 < 0.01 for intragroup test） by Barthel Index. Furthermore, there were 5 suffering from speech disablement in A group, and 4 of them had apparent improvement according to the video record. The study illustrated that stroke patients were still possibly able to accomplish following results even after 6 months by taking supplemental food: 1. restoration of extremeties and speech disablement2. decrease in the need of stroke care3. promotion of life quality. |
