摘要
目的 探讨高压氧联合康复训练方案对缺血性脑卒中偏瘫患者肢体运动能力的影响.方法 选择该院2018年1月—2021年2月收治的缺血性脑卒中偏瘫患者40例,按照随机数表法分为两组,对照组(20例)采用康复训练治疗,研究组(20例)采用高压氧联合康复训练治疗,分别于治疗前、治疗8周后采用美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)与改良Barthel指数评定量表评价患者的神经功能与自理能力,采用简化Fugl-Meyer运动功能评定量表评价患者的运动能力,并统计治疗期间两组患者并发症发生情况.结果 治疗后,研究组NIHSS评分(4.73±1.60)分低于对照组,Barthel指数评分(75.28±11.64)分高于对照组,Fugl-Meyer上肢、下肢运动功能评分分别为(58.33±5.85)分、(22.14±3.54)分,均高于对照组,组间差异有统计学意义(P<0.05).两组并发症发生率比较,差异无统计学意义(P>0.05).结论 对缺血性脑卒中偏瘫患者采用高压氧联合康复训练治疗,能够有效改善患者的神经功能与自理能力,提高患者的运动能力,且治疗方案安全性高,值得推广.
Objective To explore the impact of hyperbaric oxygen combined with rehabilitation training program on the extremity movement ability of patients with ischemic stroke hemiplegia.Methods The 40 patients with ischemic stroke and hemiplegia admitted to the hospital from January 2018 to February 2021 were selected and divided into two groups according to the random number table method,the control group(20 cases)was treated with rehabilitation training,and the study group(20 cases)was treated with hyperbaric oxygen combined with rehabilitation training.The National Institute of Health stroke scale(NIHSS)and the modified Barthel index rating scale were used to evaluate the patient’s neurological function and selfcare ability before treatment and 8 weeks after treatment,the simplified Fugl-Meyer assessment scale was used to evaluate the patient's movement ability,and the complications of the two groups of patients during the treatment period were counted.Results After treatment,the NIHSS score(4.73±1.60)points of the study group was lower than that of the control group,and the Barthel index score(75.28±11.64)points was higher than that of the control group,the Fugl-Meyer upper limb and lower limb motor function scores were(58.33±5.85)points and(22.14±3.54)points,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion The use of hyperbaric oxygen combined with rehabilitation training for patients with ischemic stroke and hemiplegia can effectively improve the patient's neurological function and self-care ability,improve the patient's exercise ability,and the treatment plan is safe and worthy of promotion.
作者
李荣荣
LI Rongrong(Department of Neurology,East Theater General Hospital Huai'an Medical District,Huai'an Jiangsu,223001,China)
出处
《反射疗法与康复医学》
2021年第14期113-115,共3页
Reflexology And Rehabilitation Medicine
关键词
缺血性脑卒中
偏瘫
高压氧
康复训练
神经功能
运动能力
Ischemic stroke
Hemiplegia
Hyperbaric oxygen
Rehabilitation training
Nerve function
Movement ability
