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目的:探讨重型颅脑损伤术后肢体偏瘫患者功能训练配合高压氧治疗对肢体改善的临床疗效。方法:选取我院2013年1月-2014年1月收治的重型颅脑损伤术后肢体偏瘫患者80例,随机分为对照组和观察组,各40例。两组患者均进行中西医结合治疗并给予常规护理;观察组患者在此基础上同时进行功能训练配合高压氧治疗。比较两组患者生活能力状态及日常生活功能。结果:观察组患者中,显效11例,有效24例,无效5例,其总有效率为87.5%,明显优于对照组的6例、18例、16例及60.0%,观察组疗效更佳,差异具有统计学意义(P<0.05)。结论:给予重型颅脑损伤术后肢体偏瘫患者早期功能训练配合高压氧治疗,可有效改善患者各关节功能活动,提高预后生存质量,有效降低致残率。
Objective: To investigate the clinical effect of functional training combined with hyperbaric oxygen therapy on limbs in patients with limb hemiplegia after severe craniocerebral injury. Methods: Eighty patients with limb hemiplegia after severe craniocerebral injury admitted from January 2013 to January 2014 in our hospital were randomly divided into control group and observation group, 40 cases in each group. Two groups of patients were treated with integrated traditional Chinese and Western medicine and given routine care; observation group patients on the basis of this functional training at the same time with hyperbaric oxygen therapy. Compare the two groups of patients with living ability status and daily life function. Results: Among the observation group, 11 cases were markedly effective, 24 cases were effective and 5 cases were ineffective. The total effective rate was 87.5%, which was significantly better than 6 cases in the control group, 18 cases, 16 cases and 60.0%. The observation group was more effective , The difference was statistically significant (P <0.05). Conclusions: Early functional training combined with hyperbaric oxygen therapy in patients with limb hemiplegia after severe craniocerebral injury can effectively improve the functional activities of each joint, improve the quality of life of patients and reduce the morbidity.