高压氧联合运动疗法对脑梗死功能恢复的影响  

Effects of Hyperbaric Oxygen Combined with Exercise Therapy on Function Recovery of Patients with Cerebral Infarction

作　　者：甄君[1] 耿建红[1] 王雪晴[2] 钟明[2] 

机构地区：[1]中山大学附属第五医院康复医学科,广东省珠海市519000 [2]中山大学附属第五医院高压氧科,广东省珠海市519000

出　　处：《中华全科医学》2011年第9期1348-1349,共2页Chinese Journal of General Practice

摘　　要：目的观察高压氧联合运动疗法对急性脑梗死患者运动功能、日常生活能力的影响以及临床疗效。方法选取100例急性脑梗死患者,将其随机分为综合组和对照组,每组各50例。两组患者均采用神经内科常规处理,并配合运动疗法,综合组另外给予高压氧治疗。分别于治疗前后根据简化的Fugl-Meyer运动功能量表(FMA)、改良的Barthel指数(MBI)对患者的肢体运动功能、日常生活能力进行评分,比较两组间的差异,判定疗效。结果经过治疗,两组患者的FMA、MBI评分均较治疗前有一定程度的改善(均P<0.01),但综合组的改善幅度明显高于对照组,组间比较,差异有统计学意义(均P<0.05)。综合组的治疗有效率为88%,对照组的有效率为70%,差异有统计学意义(P<0.05)。结论高压氧联合运动疗法能够明显促进急性脑梗死患者肢体运动功能、日常生活能力的恢复,减少致残率,提高生活质量,改善预后。Objective To observe the clinical effect and influences of hyperbaric oxygen combined with exercise therapy on the motor function and activity of daily living in patients with acute cerebral infarction. Methods lO0 patients with acute cerebral infarction were randomly divided into combined group and control group, each 50 cases, All received routine treatment and exercise therapy, meanwhile for patients in combined group, hyperbaric oxygen training was applied additionally. Each patient was evaluated on limb motor function and activity of daily living by the simple Fugl-Meyer motor function assessment（FMA） and the modified Barthel Index （MBI） before and after treatment, the differences among two groups were compared, and therapeutic effects were evaluated. Results After treatment, the FMA score and MBI in two groups improved to a certain extent （ P 〈 0. 01 ）, but the pace of improvement in combined group was significantly higher than control group, there were significant different between two groups （P 〈 0. 05 ）. Effective rate of combined group was 88%, and control group was 70%, the difference was significant （P 〈 0.05）. Conclusion Hyperbaric oxygen combined with exercise therapy can significantly promote the recovery of limb motor function and activity of daily living in patients with acute cerebral infarction, reduce disability rate, enhance quality of life and improve prognosis.

关 键 词：脑梗死 高压氧 运动疗法 功能 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R455[医药卫生—临床医学]