中华航海医学与高气压医学杂志
中華航海醫學與高氣壓醫學雜誌
중화항해의학여고기압의학잡지
CHINESE JOURNAL OF NAUTICAL MEDICINE AND HYPERBARIC MEDICINE
2008年
6期
347-349
,共3页
颅内动脉瘤%高压氧%神经功能缺损%日常生活能力
顱內動脈瘤%高壓氧%神經功能缺損%日常生活能力
로내동맥류%고압양%신경공능결손%일상생활능력
Intracranial aneurysms%Hyperbaric oxygen%Neurologic function impairment%Activities of daily living
目的 观察高压氧综合康复治疗对颅内动脉瘤术后患者的神经功能缺损(NFI)和日常牛活活动能力(ADL)的影响,方法术后患者平均分为对照组和高压氧组(每组40例),对照组予常规药物和理疗、针灸治疗;高压氧组在上述治疗基础上加用高压氧治疗,观察治疗前后临床疗效、神经功能缺损评分和Barthel的ADL评分.结果 2组治疗后神经功能缺损评分较治疗前明显降低,治疗后高压氧组与对照组比较,NFI评分差异有统计学意义(分别为7.4±6.0和9.8±4.5,P<0.05);2组治疗后Barthel评分较治疗前有提高,治疗后高压氧组与对照组比较,Barthel评分差异亦有统计学意义(分别为42.7±11.6和35.3±10.4,P<0.01).高压氧治疗的疗效与开始治疗时间和Hunt-Hess动脉瘤分级有关.结论 术后早期积极地运用高压氧综合康复治疗,可使颅内动脉瘤患者神经功能和生活活动能力得到明显改善,生活质量得以提高.
目的 觀察高壓氧綜閤康複治療對顱內動脈瘤術後患者的神經功能缺損(NFI)和日常牛活活動能力(ADL)的影響,方法術後患者平均分為對照組和高壓氧組(每組40例),對照組予常規藥物和理療、針灸治療;高壓氧組在上述治療基礎上加用高壓氧治療,觀察治療前後臨床療效、神經功能缺損評分和Barthel的ADL評分.結果 2組治療後神經功能缺損評分較治療前明顯降低,治療後高壓氧組與對照組比較,NFI評分差異有統計學意義(分彆為7.4±6.0和9.8±4.5,P<0.05);2組治療後Barthel評分較治療前有提高,治療後高壓氧組與對照組比較,Barthel評分差異亦有統計學意義(分彆為42.7±11.6和35.3±10.4,P<0.01).高壓氧治療的療效與開始治療時間和Hunt-Hess動脈瘤分級有關.結論 術後早期積極地運用高壓氧綜閤康複治療,可使顱內動脈瘤患者神經功能和生活活動能力得到明顯改善,生活質量得以提高.
목적 관찰고압양종합강복치료대로내동맥류술후환자적신경공능결손(NFI)화일상우활활동능력(ADL)적영향,방법술후환자평균분위대조조화고압양조(매조40례),대조조여상규약물화리료、침구치료;고압양조재상술치료기출상가용고압양치료,관찰치료전후림상료효、신경공능결손평분화Barthel적ADL평분.결과 2조치료후신경공능결손평분교치료전명현강저,치료후고압양조여대조조비교,NFI평분차이유통계학의의(분별위7.4±6.0화9.8±4.5,P<0.05);2조치료후Barthel평분교치료전유제고,치료후고압양조여대조조비교,Barthel평분차이역유통계학의의(분별위42.7±11.6화35.3±10.4,P<0.01).고압양치료적료효여개시치료시간화Hunt-Hess동맥류분급유관.결론 술후조기적겁지운용고압양종합강복치료,가사로내동맥류환자신경공능화생활활동능력득도명현개선,생활질량득이제고.
Objective To explore the influence of hyperbaric oxygen( HBO) combined with physical therapy and acupuncture on neurologic function impairment ( NFI) and activities of daily living ( ADL) in patients with intraeranal aneurysms. Methods Eighty cases with intracranial aneurysms were divided into two groups; treated with and without HBO besides conventional treatment. The scores of NFI and Barthel were evaluated before and after treatment. Results The score of NFI after treatment was lower than before in two groups and it was lower in HBO group than that in control group after treatment. At the same time,the score of ADL after treatment was higher significantly than before in two groups. After HBO treatment, both of NFI and ADL scores were higher than those in control group. Clinical effect was concerned with the day of beginning and Hunt-Hess grading system. Conclusions HBO combined with other rehabilitative training can be actively used in patients with intracranial aneurysms in the early stage after operation, which can improve nuerologic function, ADL and quality of life significantly.
