CAJ | 학술논문

目的：探讨高压氧（HBO ）辅助疏血通治疗对糖尿病性脑梗死的疗效。方法纳入136例糖尿病性脑梗死患者，随机分为观察组和对照组。对照组予以静脉滴注疏血通注射液；观察组在此基础上予以高压氧辅助治疗。治疗前后行神经功能缺损程度评分、临床疗效评估、凝血相关指标和脑部特异性变化的生化指标评价。结果观察组的神经功能缺失评分降低（35．26±9．98）分至（5．33±2．17）分较对照组（34．47±8．74）分至（12．65±7．16）分多，差异有统计学意义（ P＜0．05）；观察组临床疗效总的有效率（97．3％）高于对照组（88．3％），差异有统计学意义（P＜0．05）。凝血相关指标、脑部特异性变化生化指标改变优于对照组，差异有统计学意义（P＜0．05）。结论高压氧（HBO ）辅助疏血通治疗糖尿病性脑梗死较单用疏血通临床疗效好。
목적：탐토고압양（HBO ）보조소혈통치료대당뇨병성뇌경사적료효。방법납입136례당뇨병성뇌경사환자，수궤분위관찰조화대조조。대조조여이정맥적주소혈통주사액；관찰조재차기출상여이고압양보조치료。치료전후행신경공능결손정도평분、림상료효평고、응혈상관지표화뇌부특이성변화적생화지표평개。결과관찰조적신경공능결실평분강저（35．26±9．98）분지（5．33±2．17）분교대조조（34．47±8．74）분지（12．65±7．16）분다，차이유통계학의의（ P＜0．05）；관찰조림상료효총적유효솔（97．3％）고우대조조（88．3％），차이유통계학의의（P＜0．05）。응혈상관지표、뇌부특이성변화생화지표개변우우대조조，차이유통계학의의（P＜0．05）。결론고압양（HBO ）보조소혈통치료당뇨병성뇌경사교단용소혈통림상료효호。
Objective To observe the clinical effect of Shuxuetong combined with hyperbaric oxygen (HBO) on diabetic patients complicated with cerebral infarction .Methods 136 diabetic patients complicated with cerebral in-farction were randomly divided into observation group and control group .The patients in the control group were given Shuxuetong injection and the patients in the observation group were given Shuxuetong injection combined with HBO . The clinical effects were valued by score of neurological deficits ,score of cinical effect ,coagulation index and special biochemical index of cerebral injury .Results Scores of neurological deficits in observation group have decreased (from 35 .26 ± 9 .98 to 5 .33 ± 2 .17) and this reduction is more than control group (from 34 .47 ± 8 .74 to 12 .65 ± 7 .16) ,P<0 .05 ;efficient of observation group(97 .3% )was higher than control group(88 .3% )(P< 0 .05);the two rest items of observation group were better than control group (P< 0 .05) .Conclusion The effect of Shuxuetong combined with HBO on diabetic patients complicated with cerebral infarction were better than using Shuxuetong sim-ply .