论文部分内容阅读
目的观察高压氧联合运动疗法对急性脑梗死患者运动功能、日常生活能力的影响以及临床疗效。方法选取100例急性脑梗死患者,将其随机分为综合组和对照组,每组各50例。两组患者均采用神经内科常规处理,并配合运动疗法,综合组另外给予高压氧治疗。分别于治疗前后根据简化的Fugl-Meyer运动功能量表(FMA)、改良的Barthel指数(MBI)对患者的肢体运动功能、日常生活能力进行评分,比较两组间的差异,判定疗效。结果经过治疗,两组患者的FMA、MBI评分均较治疗前有一定程度的改善(均P<0.01),但综合组的改善幅度明显高于对照组,组间比较,差异有统计学意义(均P<0.05)。综合组的治疗有效率为88%,对照组的有效率为70%,差异有统计学意义(P<0.05)。结论高压氧联合运动疗法能够明显促进急性脑梗死患者肢体运动功能、日常生活能力的恢复,减少致残率,提高生活质量,改善预后。
Objective To observe the effects of hyperbaric oxygen combined exercise therapy on motor function, daily living ability and clinical efficacy in patients with acute cerebral infarction. Methods A total of 100 patients with acute cerebral infarction were selected and randomly divided into two groups: control group (50 cases) and control group (50 cases). Patients in both groups were treated routinely with neurology and with exercise therapy. Hyperbaric oxygen therapy was given to the combined group. Before and after treatment, according to the simplified Fugl-Meyer motor function scale (FMA) and modified Barthel index (MBI), the motor function and daily living ability of the patients were scored, and the differences between the two groups were compared to determine the efficacy. Results After treatment, the scores of FMA and MBI in both groups were improved to a certain degree before treatment (all P <0.01), but the improvement rate of the combined group was significantly higher than that of the control group. There was significant difference between the two groups All P <0.05). The effective rate of the combined treatment group was 88% and that of the control group was 70%, the difference was statistically significant (P <0.05). Conclusion Hyperbaric oxygen combined with exercise therapy can significantly promote limb motor function in patients with acute cerebral infarction, daily life ability recovery, reduce the disability rate, improve quality of life and improve prognosis.