Advances in research on treatment positions for acute cerebral infarction
10.3760/cma.j.issn.1671-8925.2018.05.022
- VernacularTitle:急性脑梗死治疗体位的研究进展
- Author:
Guo LU
1
;
Shuo LI
;
Fuling YAN
Author Information
1. 253000,山东省德州市人民医院神经内科
- Keywords:
Acute cerebral infarction;
Treatment position;
Head elevation;
Supine position
- From:
Chinese Journal of Neuromedicine
2018;17(5):537-540
- CountryChina
- Language:Chinese
-
Abstract:
Postural treatment for acute cerebral infarction involves supine position,lateral position and head elevation.In recent decades,controversy arises concerning determination between supine position and head elevation.Head elevation may decrease intracranial pressure and reduce incidence of pneumonia while supine position may strengthen cerebral perfusion and improve oxygenation indexes in the infarction area to promote recanalization.There has been no clear clinical evidence to determine the best treatment or rehabilitation position for patients with acute cerebral infarction.This article,hoping to provide references for clinical choice of treatment position,reviews the concept ofpostural treatment for patients with acute anterior circulation infarction,impacts of position on cerebral blood flow,arterial oxygen saturation,intracranial pressure and incidence of pneumonia,and possible ways of the impacts as well.
