高血压脑出血术后高压氧联合电刺激小脑顶核治疗的疗效观察  

Clinical efficacy of hyperbaric oxygenation combined with electrical stimulation of cerebellar fastigial nucleus after surgery of hypertensive cerebral hemorrhage.

作　　者：彭浩[1] 赵建农[1] 王鹏程[1] 黄垂学[1] 王加充[1] 

机构地区：[1]海南省人民医院神经外科,海南海口570000

出　　处：《海南医学》2013年第9期1288-1290,共3页Hainan Medical Journal

摘　　要：目的探讨高血压脑出血术后高压氧联合电刺激小脑顶核治疗对预后的影响。方法选择高血压脑出血术后患者120例,随机分为联合治疗组50例、高压氧治疗组38例、常规治疗组32例,三组患者均于住院当天及治疗后的第30天进行血流变学指标的比较;采用Fugy-Meyer(FMA)运动功能积分法和Barthel指数(BI)评分法进行肢体功能及日常生活能力(ADL)评定。结果联合治疗组的血流变学指标、FMA、BI评分与高压氧治疗组及常规治疗组比较差异有统计学意义(P<0.05)。结论高压氧联合电刺激小脑顶核治疗高血压脑出血术后患者可以明显改善其神经功能障碍,是一种较好的康复治疗方法。Objective To investigate the effect of hyperbaric oxygenation combined with electrical stimula- tion of cerebellar fastigial nucleus after surgery of hypertensive cerebral hemorrhage on prognosis. Methods A total of 120 patients with hypertensive cerebral hemorrhage were randomly divided into the combined treatment group （50 cases）, the hyperbaric oxygenation treatment group （38 cases）, and the conventional treatment group （32 cases）. Hemorheology was compared in the three groups on the admission day and the 30th day after treatment. Fugy-Meyer （FMA） （motor function integration） and Barthel Index （BI） score were applied for assessment on physical function and ability of daily living （ADL）. Results There was a statistically significant difference in hemorheological parameters, FMA, BI score between the combined treatment group and hyperbaric oxygenation treatment group, conventional treatment group （P〈0.05）. Conclusion For patients with hypertensive cerebral hemorrhage after surgery, hyperbaric oxygenation combined with electrical stimulation of cerebellar fastigial nucleus can significantly improve the neuro- logical dysfunction, which is a good rehabilitation therapy.

关 键 词：高血压脑出血 高压氧 电刺激小脑顶核 

分 类 号：R544.1[医药卫生—心血管疾病]