高压氧和等速肌力训练综合康复治疗脑卒中的研究  

Study on comprehensive rehabilitation of hyperbaric oxygen and isokinetic muscle strength exercise to treat stroke

作　　者：孟庆芳[1] 尤阳[1] 陈庆华[1] 

机构地区：[1]济南军区青岛第二疗养院门诊部,266071

出　　处：《中国疗养医学》2015年第8期827-829,共3页Chinese Journal of Convalescent Medicine

摘　　要：目的研究高压氧(HBO)和等速肌力训练综合康复治疗脑卒中的临床疗效。方法选择脑卒中患者99例,随机分为对照组,高压氧组(HBO组),HBO和等速肌力组(称联合组),每组33例。3组患者常规康复训练相同,HBO组增加高压氧治疗(HBOT);联合组在常规康复和HBOT基础上增加等速肌力训练。诊断前后采用Fugl-Meyer量表(FMA)评定下肢运动及平衡功能;应用Isomove等速仪检测3组患者膝关节伸屈肌力学指标。结果经过20次治疗后3组患者各指标评分均有改善,HBO组和联合组与对照组比较差异有统计学意义(P<0.05,P<0.01);联合组优于HBO组(P<0.01)。结论 HBO和等速肌力训练综合康复治疗脑卒中对患者可明显促进运动功能恢复。Objective To study the clinical effects of comprehensive rehabilitation of hyperbaric oxygen（HBO）and isokinetic muscle strength exercise to treat stroke. Methods 99 sufferers with stroke were randomly divided into control group,hyperbaric oxygen（HBO）group,HBO and isokinetic muscle strength exercise group（called joint group）with33 cases in each group.Three groups were given the same routine rehabilitation training;the HBO group were given additional hyperbaric oxygen therapy（HBOT）;the joint group were given isokinetic muscle strength exercise on the basis of routine rehabilitation training and hyperbaric oxygen therapy.Before and after diagnosis Fugl-Meyer scale（FMA）was adopted to evaluate lower limb movement and balance function;Isomove was adopted to measure knee-joint extension and flexion muscle strength indicators. Results After 20 times of treatment,all index scores in 3 groups got improved.Compared with the control group,the HBO group and the joint group showed difference of statistical significance（P〈0.05,P〈0.01）;the joint group was better than the HBO group（ P〈0.01）.Conclusion Comprehensive rehabilitation of hyperbaric oxygen（HBO）and isokinetic muscle strength exercise to treat stroke can clearly improve the movement function recovery of the sufferers.

关 键 词：脑卒中 等速肌力训练 高压氧 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]