高压氧治疗联合康复训练对偏瘫患者步行能力的影响  

Influence of hyperbaric oxygen therapy combined with rehabilitation training on gait ability of hemiplegic patients

作　　者：梁涛[1] 陶珍[2] 李远征[1] 闫玮娟[1] 刘杰[1] 胡西[1] 代新年[1] 

机构地区：[1]济南军区青岛第二疗养院全军神经康复中心,266071 [2]济南军区总医院神经内科,250031

出　　处：《中国疗养医学》2014年第1期4-6,共3页Chinese Journal of Convalescent Medicine

基　　金：济南军区后勤科研计划课题(CJN12J062)

摘　　要：目的研究高压氧治疗联合康复训练对脑卒中偏瘫患者步行能力的影响。方法 66例脑卒中后步行障碍的患者随机分为治疗组和对照组,每组33例。对照组进行常规康复训练,治疗组在运动训练的基础上加以高压氧治疗,治疗4周后采用Berg平衡量表(BBS)评价平衡能力,10 m最大步行速度(MWS)评价步行速度,简化Fugl-Meyer量表(FMA)评价下肢运动功能,改良Barthel指数(MBI)评定日常生活活动能力。结果治疗前两组平衡能力、步行速度、下肢功能及日常生活活动能力比较差异无统计学意义(P>0.05),具有可比性。治疗后两组平衡能力、步行速度、下肢运动功能及日常生活活动能力评定均较治疗前有改善(P<0.05),两组相比治疗组优于对照组(P<0.05)。结论高压氧治疗配合常规康复训练对脑卒中偏瘫患者恢复步行能力有更好疗效。Objective To investigate the effects of hyperbaric oxygen in combination with rehabilitation training on walking ability in stroke patients with hemiplegia. Methods 66 patients with impaired walking ability after stroke were randomly divided into two groups： a control group （33 cases） and an experimental group （33 cases）.All the patients were given conventional rehabilitation training.Meanwhile, hyperbaric oxygen therapy was also administered for those in the experimental group.The therapeutic course was 4 weeks. They were assessed with Berg Balance Scale（BBS）, 10-m Maximum Walking Speed（MWS）, Fugl-Meyer Assessment（FMA） and Modified Barthel Index（MBI）. Result Compared with that before treatment, the walking ability was obviously improved after treatment in both groups（P〈0.05）. However, the effect in experimental group was significantly superior to that in control group（P〈0.05）. Conclusion Hyperbaric oxygen has preferable effect on walking ability in stroke patients with hemiplegia.

关 键 词：卒中 康复 高压氧治疗 步行能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]