高压氧治疗对脑梗死后认知功能障碍患者日常生活活动能力的影响观察  

Observation of the effect of hyperbaric oxygen on activities of daily living in patients with cognitive impairment after cerebral infarction

作　　者：招连香 ZHAO Lianxiang(Department of Rehabilitation Medicine,Nanchong Central Hospital,Nanchong Hospital of Beijing Anzhen Hospital Affiliated to Capital Medical University,Nanchong 637000,China)

机构地区：[1]首都医科大学附属北京安贞医院南充医院·南充市中心医院康复医学科,四川南充637000

出　　处：《医用气体工程》2025年第1期30-32,40,共4页Medical Gases Engineering

摘　　要：目的:探讨高压氧舱内作业治疗对脑梗死后认知功能障碍患者日常生活活动能力的影响。方法:按照随机数字表法将我院2020年5月-2024年4月收治的60例脑梗死后认知功能障碍的患者分为对照组(实施作业训练治疗)与研究组(实施高压氧舱内作业训练治疗),各30例。观察两组认知功能、日常生活活动能力、临床疗效及神经功能缺失程度。结果:治疗后,两组的NIHSS评分均高于治疗前,且研究组显著高于对照组(P<0.05);研究组患者的总有效率明显高于对照(P<0.05);治疗后,两组的日常生活能力均高于治疗前,且研究组显著高于对照组(P<0.05);治疗后,两组的MaCA评分均高于治疗前,且研究组显著高于对照组(P<0.05)。结论:高压氧舱内作业治疗脑梗死后认知功能障碍患者可有效改善日常生活活动能力,提升患者的认知功能及神经功能。Objective:To investigate the effect of hyperbaric oxygen chamber occupational therapy on activities of daily living in patients with cognitive impairment after cerebral infarction.Methods:According to random number table method,60 patients with cognitive impairment after cerebral infarction admitted to our hospital from May 2020 to April 2024 were randomly divided into control group(receiving occupational training treatment)and study group(receiving hyperbaric oxygen chamber occupational training treatment),with 30 patients in each group.Cognitive function,activities of daily living,clinical efficacy,and degree of neurological dysfunction were observed in the two groups.Results:After treatment,the NIHSS scores of both groups were higher than before treatment,and the study group was significantly higher than the control group(P<0.05).The total effective rate of the study group was significantly higher than that of the control group(P<0.05).After treatment,activities of daily living of both groups were higher than before treatment,and the study group was significantly higher than the control group(P<0.05).After treatment,the MaCA scores of both groups were higher than before treatment,and the study group was significantly higher than the control group(P<0.05).Conclusion:Hyperbaric oxygen chamber occupational therapy can effectively improve activities of daily living and enhance cognitive and neurological functions of patients with cognitive impairment after cerebral infarction.

关 键 词：脑梗死 高压氧舱 认知功能障碍 神经功能缺失程度 日常生活活动能力 

分 类 号：R743[医药卫生—神经病学与精神病学]