早期高压氧综合治疗对脑出血患者临床疗效的影响  

Exploration of the clinical effect of early hyperbaric oxygen comprehensive therapy on patients with intracerebral hemorrhage

作　　者：董永尧[1] 石祥飞 张宗胜[1] 王德勇[1] 陈雅倩[2] DONG Yongyao;SHI Xiangfei;ZHANG Zongsheng;WANG Deyong;CHEN Yaqian(Department of Neurosurgery,the People's Hospital of Pizhou,Jiangsu,Pizhou 221300,China;Department of Pharmacy,the People's Hospital of Pizhou,Jiangsu,Pizhou 221300,China)

机构地区：[1]江苏省邳州市人民医院神经外科,江苏邳州221300 [2]江苏省邳州市人民医院药学部,江苏邳州221300

出　　处：《中国医药科学》2021年第24期188-191,共4页China Medicine And Pharmacy

摘　　要：目的探讨早期高压氧综合治疗对脑出血患者临床疗效的影响。方法选择2020年7—12月在邳州市人民医院诊断治疗的高血压脑出血患者80例为研究对象,随机分为两组。两组均给予常规治疗,观察组在此基础上家用高压氧综合治疗。分别于治疗前及治疗3个月采用Fugl-Meyer运动功能评分法(FMA)评价患者肢体运动功能,采用Barthel指数(BI)评价患者生活质量。采用格拉斯哥昏迷评分(GCS)评价患者昏迷指数改善情况。结果治疗后两组FMA较治疗前提高显著,与治疗前比较差异有统计学意义(P<0.05);治疗后,观察组FMA评分(78.74±5.26)分,与对照组比较,差异有统计学意义(P<0.05)。治疗后,两组BI评分显著较治疗前高,与治疗前比较,差异有统计学意义(P<0.05);治疗后,观察组BI(72.12±6.48)分,与对照组比较差异有统计学意义(P<0.05)。治疗后两组GCS评分显著高于治疗前,差异有统计学意义(P<0.05);治疗后,观察组GCS评分(13.61±0.22)分,显著高于对照组,差异有统计学意义(P<0.05)。结论早期高压氧综合治疗可显著改善脑出血患者的临床效果,改善肢体运动功能,提高患者生活质量。Objective To explore the clinical effect of early hyperbaric oxygen comprehensive therapy on patients with intracerebral hemorrhage.Methods Eighty patients with hypertensive intracerebral hemorrhage diagnosed and treated in the People's Hospital of Pizhou from July 2020 to December 2020 were randomly divided into two groups.Both groups were given conventional treatment,while the observation group was additionally treated with hyperbaric oxygen comprehensive therapy on that basis.Fugl-Meyer assessment(FMA)scale was used to evaluate the limb motor function of patients before treatment and after 3-month treatment,and Barthel index(BI)was used to evaluate the quality of life of patients.Glasgow coma scale(GCS)was used to evaluate the improvement of the coma index.Results After treatment,the FMA scores of the two groups increased significantly compared with those before treatment,with statistically significant differences(P<0.05).After treatment,the FMA scale of the observation group was 78.745.26,which was significantly different from that of the control group(P<0.05).After treatment,the BI scores of the two groups were significantly higher than those before treatment,with statistically significant differences(P<0.05).After treatment,the BI of the observation group was(72.12±6.48),which was significantly different from that of the control group(P<0.05).After treatment,the GCS scores of the two groups were significantly higher than those before treatment,with statistically significant differences(P<0.05).After treatment,the GCS score of the observation group was(13.61±0.22),which was significantly higher than that of the control group(P<0.05).Conclusion The early hyperbaric oxygen comprehensive therapy can significantly improve the clinical effect,limb motor function,and the quality of life of patients with intracerebral hemorrhage.

关 键 词：高压氧 早期 脑出血 BARTHEL指数 FUGL-MEYER评分 GCS评分 

分 类 号：R743.34[医药卫生—神经病学与精神病学]