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目的:观察高压氧联合运动想象和舱内运动对脑梗死偏瘫患者的心理影响。方法:采用随机数字表法将2008年至2012年2月在广东省东莞市石龙人民医院进行高压氧治疗的60例脑梗死偏瘫患者分成常规组和干预组,每组各30例。干预组在常规组治疗基础上,结合运动想象和舱内运动治疗。两组患者经过24次治疗后,对其心理影响进行分析。结果:干预组患者对高压氧治疗的依从性、主观能动性明显优于常规组;干预组患者无不良心理反应率为96.7%,高于常规组的66.7%(P<0.05)。结论:单一高压氧联合运动想象和舱内运动治疗可消除脑梗死偏瘫患者的不良心理反应,显著提高其对高压氧治疗的依从性、和主观能动性,促进其康复,值得临床推广应用。
OBJECTIVE: To observe the psychological effects of hyperbaric oxygen combined with motor imaging and intracranial movements on patients with hemiplegia after cerebral infarction. Methods: Sixty patients with hemiplegia of cerebral infarction who were treated with hyperbaric oxygen in Shilong Hospital of Dongguan, Guangdong Province from 2008 to February 2012 were divided into routine group and intervention group with 30 cases in each group. Intervention group on the basis of conventional treatment, combined with motor imaging and intracranial movement therapy. Two groups of patients after 24 treatments, the psychological impact of their analysis. Results: The compliance and subjective initiative of the patients in the intervention group were significantly better than those in the conventional group. The rate of adverse psychological reactions in the intervention group was 96.7%, which was higher than that in the control group (66.7%, P <0.05). CONCLUSION: Single hyperbaric oxygen combined with motor imaging and intracranial motor therapy can eliminate adverse psychological reactions in hemiplegia patients with cerebral infarction, significantly improve their compliance with hyperbaric oxygen therapy, and subjective initiative to promote their rehabilitation, worthy of clinical application.