摘要
目的探讨高压氧治疗老年术后认知功能障碍患者的疗效及对其身体恢复的影响。方法选取2018年5月至2021年4月本院收治的60例老年术后认知功能障碍患者作为研究对象,随机分为常规组与研究组,各30例。常规组给予常规治疗,研究组在常规组基础上采用高压氧治疗,比较两组临床疗效、功能独立性评分、神经行为认知情况评分、血液流变学指标及临床症状评分。结果研究组治疗总有效率(93.33%)高于常规组(63.33%),差异有统计学意义(P<0.05)。研究组括约肌控制、自我照顾、行走、转移、社会认知、交流评分均高于常规组,差异有统计学意义(P<0.05)。研究组注意力、定向力、命名、理解力、记忆力、组织结构及判断力评分均高于常规组,差异有统计学意义(P<0.05)。研究组低切比黏度、高切比黏度及纤维蛋白原均低于常规组,红细胞比积高于常规组,差异有统计学意义(P<0.05)。治疗后,两组记忆力状况、头昏头痛、多汗评分均低于治疗前,且研究组低于常规组,差异有统计学意义(P<0.05)。结论高压氧治疗老年术后认知功能障碍疗效显著,可显著改善患者功能独立性、神经行为认知情况、血液流变学及临床症状,改善患者预后水平,值得临床推广应用。
Objective To investigate the clinical efficacy of hyperbaric oxygen therapy in elderly patients with postoperative cognitive dysfunction and its influence on physical recovery.Methods A total of 60 elderly patients with postoperative cognitive dysfunction admitted to our hospital from May 2018 to April 2021 were selected as the research subjects,and they were randomly divided into the conventional group and the study group,with 30 cases in each group.The conventional group was given conventional treatment,and the study group was given hyperbaric oxygen treatment on the basis of the conventional group,the treatment outcomes,functional independence scores,neurobehavioral cognition scores,hemorheological indexs,and clinical symptoms score were compared between the two groups.Results The total effective rate in the study group(93.33%)was higher than that in the conventional group(63.33%),and the difference was statistically significant(P<0.05).The scores of sphincter control,self-care,walking,transfer,social cognition and communication in the study group were higher than those in the conventional group,and the differences were statistically significant(P<0.05).The scores of attention,orientation,naming,comprehension,memory,organizational structure and judgment in the study group were higher than those in the conventional group,and the differences were statistically significant(P<0.05).The low tangential viscosity,high tangential viscosity and fibrinogen in the study group were lower than those in the conventional group,the erythrocyte volume was higher than that in the conventional group,the differences were statistically significant(P<0.05).After treatment,the scores of memory status,dizziness,headache and hyperhidrosis of the two groups were lower than those before treatment,and the study group was lower than the conventional group,and the differences were statistically significant(P<0.05).Conclusion Hyperbaric oxygen therapy has significant effect on postoperative cognitive dysfunction,which can significantly impr
作者
姚斌
洪晓雅
郭世光
YAO Bin;HONG Xiaoya;GUO Shiguang(Department of Critical Care Medicine,the First Huaian Hospital Affiliated to Nanjing Medical University,Nanjing,Jiangsu,223000,China)
出处
《当代医学》
2023年第23期12-15,共4页
Contemporary Medicine
基金
南京医科大学校基金(NMUB2020144)。
关键词
老年患者
高压氧
身体恢复
术后认知功能障碍
功能独立性
神经行为认知情况
血液流变学指标
临床症状
Elderly patients
Hyperbaric oxygen
Physical recovery
Postoperative cognitive dysfunction
Functional independence
Neurobehavioral cognition
Hemorheology indexs
Clinical symptom
