高压氧治疗不同疗程对偏瘫患者步行能力的影响  

Effect of different treatment courses of hyperbaric oxygen therapy on walking ability of hemiplegic patients

作　　者：代新年[1] 马修堂[1] 王杨[1] 刘杰[1] 胡西[1] 梁涛[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

出　　处：《中国疗养医学》2014年第10期905-907,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不同疗程对脑卒中偏瘫患者步行能力的影响。方法 54例脑卒中后步行障碍的患者随机分为对照组和治疗组,每组27例。对照组给予康复训练加高压氧治疗4周后再给予康复训练4周,治疗组给予康复训练加高压氧治疗共8周,采用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。结果治疗前两组患者MWS、FMA、MBI评分差异无统计学意义(P>0.05);治疗4周后,两组MWS、FMA、MBI均较治疗前有明显好转(P<0.05),两组间差异无统计学意义(P>0.05);治疗8周后,MWS两组较治疗4周后差异无统计学意义(P>0.05),两组间比较差异无统计学意义(P>0.05);治疗8周后,FMA及MBI较治疗4周后差异有统计学意义(P<0.05),两组间比较差异有统计学意义(P<0.05)。结论常规康复训练加以高压氧治疗4周,能够改善脑卒中偏瘫患者步行能力,高压氧治疗配合康复训练8周,能够进一步改善下肢功能及日常生活活动能力,但对提高步行速度无明显帮助。Objective To investigate the effects of different courses of hyperbaric oxygen treatm ent on w alking ability in stroke patients w ith hem iplegia.Methods 54 patients w ith im paired w alking ability after stroke w ere random ly divided into tw o groups:a control group and a treatm ent group w ith 27 cases in each group .A ll patients w ere given conventional rehabilitation training and hyperbaric oxygen treat-m ent.T he control group w ere treated for 4 weeks follow ed by another 4 weeks of rehabilitation training w hile the experim ental group for 8 weeks.They were assessed with 10-m Maximum W alking Speed(MW S),Fugl-MeyerAssessment(FMA)and Modified BarthelIndex(MBI)for walkingspeed,lowerlimbmotorfunction,andactivitiesofdailyliving.Results Beforethetreatment,thescoredifferencesofMWS,FMA, and MBI in both groups were not of statistical significance(P>0.05).After 4 weeks of treatm ent,MW S,FMA ,and MBI in both groups clearly im proved better than before the treatm ent(P<0 .05 ),but the differences w ere not of statistical significance (P>0 .05 ).A fter 8 weeks of treatm ent,the differences of MW S in both groups w ere not of statistical significance com pared to those after 4 weeks of treatm ent(P>0.05),and the differences in both groups w ere not of statistical significance(P>0.05).A fter 8 weeks of treatm ent,the differences of FMA and MB I in both groups w ere of statistical significance com pared to those after 4 weeks of treatm ent(P<0 .05 ),and the differences in both groups w ere of statistical significance (P<0 .05 ).Conclusion 4 weeks of conventional rehabilitation training and hyperbaric oxygen treat-m ent can im prove the w alking ability of stroke patients w ith hem iplegia;8 weeks of hyperbaric oxygen treatm ent and rehabilitation training can further im prove FMA and MB I in stroke patients w ith hem iplegia,but w ithout clear help for im proving w alking speed.

关 键 词：卒中 高压氧治疗 步行能力 

分 类 号：R473.72[医药卫生—护理学]