摘要
【目的】探讨早期康复联合高压氧治疗对急性脑梗死患者的生活活动能力和认知功能的影响。[方法]58例急性脑梗死患者随机分为对照组和联合组，每组29例；所有患者均接受早期康复治疗，联合组在早期康复治疗的基础上加用高压氧治疗。对两组患者进行神经功能缺损评分（NFD），采用改良Barthel指数（MBI）测评日常生活活动（ADL）能力，成人简易智力测验（MMSE）测评患者认知功能。评定两组治疗前后的疗效。【结果】治疗后，两组患者NFD评分明显下降，MBI和MMSE评分均明显上升，与治疗前相比，差异有显著性（P〈0．05）。与对照组比，联合组治疗后NFD评分明显下降，MBI和MMSE评分均明显上升，且差异有显著性（P〈0．05）。【结论】早期康复联合高压氧综合治疗能显著改善急性脑梗死患者的疗效，促进患者神经功能、生活活动能力及认知功能恢复。
[Objective]To explore the effect of early rehabilitation combined with hyperbaric oxygen on the activities of daily living and cognition function of patients with acute cerebral infarction. [Methods] Totally 58 patients with acute cerebral infarction were randomly divided into control group（ n = 29） and combination group（ n =29）. All patients received early rehabilitation treatment. The patients in combination group addi- tionally received hyperbaric oxygen treatment based on early rehabilitation treatment. The neurological func- tional defect（NFD） was evaluated. The activities of daily living（ADL） were assessed by using modified Barthel index（MBI）. Cognition function was measured by using mimi-mental state examination（MMSE）. The efficacy of two groups before and after treatment was assessed. [Results] After treatment, the scores of NFD in two groups decreased obviously, while MBI and MMSE increased obviously, and there was significant difference between before and after treatment（ P 〈0.05）. Compared with control group, the scores of NFD in combina- tion group obviously decreased, while the scores of MBI and MMSE obviously increased, and there was signifi- cant difference（ P 〈0.05）. [Conclusion] Early rehabilitation combined with hyperbaric oxygen can markedly improve the efficacy and promote neurological function, ADL and cognition function of patients with acute cer- ebral infarction.
出处
《医学临床研究》
CAS
2012年第9期1663-1664,共2页
Journal of Clinical Research
关键词
脑梗塞
治疗
康复
高压氧
Cerebral infarction/TH
Rehabilitation/TH
hyperbaric oxigenation
