高压氧联合康复训练对老年HICH患者神经功能及睡眠功能的影响分析  

Analysis of the effect of hyperbaric oxygen combined with rehabilitation training on neurological function and sleep function in elderly patients with HICH

作　　者：庞岩 姜钧文[1] 肖蕾[1] 王利波 冯元洁 PANG Yan;JIANG Jun-wen;XIAO Lei(Department of Cardiac Hematology,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110000,China)

机构地区：[1]辽宁中医药大学附属医院心内血脉病科,110000

出　　处：《中国现代药物应用》2021年第21期227-229,共3页Chinese Journal of Modern Drug Application

基　　金：辽宁自然基金指导科学技术计划项目(项目编号:2019-ZD-0438)。

摘　　要：目的探讨高压氧联合康复训练对老年高血压脑出血(HICH)患者神经功能及睡眠功能的影响。方法60例老年HICH患者,随机分为对照组和研究组,每组30例。对照组患者进行常规干预及高压氧治疗,研究组患者在对照组基础上联合康复训练干预。对比两组患者干预前后美国国立卫生研究院卒中量表(NIHSS)评分、日常生活活动能力评定量表(ADL)评分及睡眠质量。结果干预前,研究组患者NIHSS评分(22.3±3.4)分、ADL评分(36.5±6.3)分与对照组的(22.7±3.5)、(36.9±6.1)分对比差异无统计学意义(P>0.05);干预后,两组患者NIHSS评分低于干预前、ADL评分高于干预前,且研究组患者NIHSS评分(14.3±1.3)分低于对照组的(17.6±1.4)分、ADL评分(57.9±14.3)分高于对照组的(48.9±17.2)分,差异具有统计学意义(P<0.05)。干预后,研究组患者睡眠优良率为100.0%(30/30),明显高于对照组的80.0%(24/30),差异具有统计学意义(P<0.05)。结论采用高压氧联合康复训练对老年HICH患者进行治疗,整体效果良好,可促进患者神经功能恢复,改善患者睡眠质量。Objective To discuss the effect of hyperbaric oxygen combined with rehabilitation training on neurological function and sleep function in elderly patients with hypertensive intracerebral hemorrhage(HICH).Methods A total of 60 elderly patients with HICH were randomly divided into control group and research group,with 30 cases in each group.Patients in the control group received conventional intervention and hyperbaric oxygen therapy,and patients in the research group received rehabilitation training intervention on the basis of the control group.Both groups were compared in terms of National Institutes of Health stroke scale(NIHSS)score and activity of daily living(ADL)score before and after the intervention,and sleep quality.Results Before the intervention,NIHSS score(22.3±3.4)points and ADL score(36.5±6.3)points of the research group were not statistically significant compared with(22.7±3.5)and(36.9±6.1)points of the control group(P>0.05).After the intervention,NIHSS scores of the two groups were lower than those before the intervention,and ADL scores were higher than those before the intervention;NIHSS score(14.3±1.3)points of the research group was lower than(17.6±1.4)points of the control group,and ADL score(57.9±14.3)points was higher than(48.9±17.2)points of the control group;all the differences were statistically significant(P<0.05).After the intervention,the good sleep rate of the research group was 100.0%(30/30),which was significantly higher than 80.0%(24/30)of the control group,and the difference was statistically significant(P<0.05).Conclusion Combination of hyperbaric oxygen therapy and rehabilitation training has good overall effect on HICH patients,which can promote the recovery of patients’neurological function and improve their sleep quality.

关 键 词：高压氧 康复训练 老年高血压脑出血 神经功能 睡眠功能 

分 类 号：R544.1[医药卫生—心血管疾病]