CAJ | 학술논문

目的：探讨高压氧( HBO )联合针刺运动疗法治疗急性脑梗死的疗效。方法129例急性脑梗死患者随机分为治疗组和对照组，两组均按急性脑梗死常规药物治疗并配合针刺运动疗法，治疗组同时加用高压氧，治疗开始及治疗30 d后对两组患者进行神经功能缺损程度评分和临床疗效评定。肢体运动功能( FMA )及日常生活活动能力采用改良Barthel Index ( MBI )评定。结果两组患者治疗前各项评分差异无统计学意义(P＞0.05)，高压氧治疗30 d后，联合疗法治疗急性脑梗死有效率95.4%，疗效明显优于对照组。结论高压氧联合针刺运动疗法可提高急性脑梗死的疗效，有利于肢体功能的改善，对减轻脑痉挛，预防挛缩畸形及提高患者日常生活能力有促进作用。
목적：탐토고압양( HBO )연합침자운동요법치료급성뇌경사적료효。방법129례급성뇌경사환자수궤분위치료조화대조조，량조균안급성뇌경사상규약물치료병배합침자운동요법，치료조동시가용고압양，치료개시급치료30 d후대량조환자진행신경공능결손정도평분화림상료효평정。지체운동공능( FMA )급일상생활활동능력채용개량Barthel Index ( MBI )평정。결과량조환자치료전각항평분차이무통계학의의(P＞0.05)，고압양치료30 d후，연합요법치료급성뇌경사유효솔95.4%，료효명현우우대조조。결론고압양연합침자운동요법가제고급성뇌경사적료효，유리우지체공능적개선，대감경뇌경련，예방련축기형급제고환자일상생활능력유촉진작용。
Objective T o discuss the curative effect of hyperbaric oxygen (H B O ) com bined w ith acupuncture exercise therapy in treatm ent of acute cerebral infarction .Methods 129 cases of patients w ith acute cerebral infarction w ere random ly divided into treatm ent group and control group,both groups w ere given conventional drug treatm ent for acute cerebral infarction and acupuncture exercise therapy,w hile the treatm ent group at the sam e tim e w ere given hyperbaric oxygen .T he degree score of neural function defect and clinical curative effect of the tw o groups w ere assessed at the beginning of treatm ent and 30 days after treatm ent.Lim b m ovem ent function (FM A ) and activities of dai-ly living w ere assessed by m odified B arthel Index (M B I).Results T he differences of each item score of the tw o groups before treatm ent w ere not of statistical significance (P>0 .05 ),after 30 days of hyperbaric oxygen therapy ,the effective rate of com bination thera-py reached 95.4% ,whosecurativeeffectwasbetterthanthecontrolgroup.Conclusion Hyperbaricoxygen(HBO)withacupunctureexercise therapy can increase the curative effect of acute cerebral infarction,im prove lim b function,alleviate brain spasm ,prevent contraction defor-m ation ,and prom ote activity of daily living .