高压氧联合康复综合治疗急性脑梗死后神经功能缺损  

Treatment of neurologic deficits after acute cerebral infarction with integrated hyperbaric therapy

作　　者：汪健[1] 朱道荣[2] 席刚明[1] 

机构地区：[1]郧阳医学院附属人民医院神经内科,湖北十堰442000 [2]郧阳医学院附属堰桥医院,湖北十堰442000

出　　处：《西部医学》2011年第2期285-287,共3页Medical Journal of West China

摘　　要：目的探讨高压氧联合康复综合治疗急性脑梗死后神经功能缺损的疗效。方法 147例急性脑梗死患者随机分为治疗组和对照组,两组均按急性脑梗死常规药物治疗并配合康复治疗,治疗组同时加用高压氧疗,治疗开始及治疗3周后对两组患者进行神经功能缺损程度评分变化和临床疗效评定。结果治疗后治疗组神经功能缺损评分由(27.34±5.54)降至(15.43±3.76);对照组由(26.78±5.47)降至(17.82±4.71),两组治疗后与治疗前比较差异有统计学意义(P<0.05),治疗后两组神经功能缺损程度评分比较差异有统计学意义(P<0.05)。两组神经功能缺损程度评分均有明显改善,治疗组优于对照组。总有效率比较:治疗组为93.3%,对照组为88.0%,差异无统计学意义(P>0.05);但(基本痊愈+显著进步)率两组间比较差异有统计学意义(P<0.05)。结论早期高压氧治疗和康复治疗对急性脑梗死有协同作用,两者合用治疗急性脑梗死能较显著的改善患者神经功能缺损,提高治疗效果。Objective To research the therapeutic efficacy of integrated hyperbaric therapy on neurologic deficits after acute cerebral infarction.Method 147 patients of acute cerebral infarction were divided into two groups,including treatment group and control group.Both groups were treated with conventional medical treatment and comprehensive rehabilitation,but the patients of the treatment group were treated with hyperbaric oxygen treatment,additionally.In the beginning of and 3 weeks after the treatment,The changing degree and the clinical efficacy of the neurologic impairment were evaluated.Result The rating of neurologic impairment in the treatment group was reduced from（27.34±5.540 to（15.43±3.76） and that in the control group from（26.78±5.47） to（17.82±4.71）.The comparison difference before and after the treatment was statistically significant（P0.05）.The rating of neurologic impairment degree for both groups was obviously improved,but the rating of neurologic impairment degree of treatment group was superior to that of control group.The cure rate and the improvement rate of the two groups was statistically significant（P0.05）.Conclusion The hyperbaric oxygen therapy and rehabilitation therapy have a coordination effect in early treatment of acute cerebral infarction.The combination of the both therapies can obviously improve the neurologic impairment and the efficacy.

关 键 词：高压氧 康复 脑梗死 神经功能缺损 

分 类 号：R747.9[医药卫生—神经病学与精神病学]