CAJ | 학술논문

目的探讨高压氧舱内高压氧(hyperbaric oxygen,HBO)联合星状神经节超激光照射治疗对缺血性脑卒中患者运动、认知和日常生活活动能力的影响.方法经患者知情同意,将60例患者分为超激光组(HBO+氧舱内星状神经节超激光照射治疗)和对照组(单纯HBO),每组30例.采用NFD、Fug1-Meyer评定运动功能;MMSE评定认知功能;FMA评定日常生活活动能力;Barthel指数进行日常生活评分(activities of daily living,ADL).结果治疗后,超激光组ADL评分75～90的患者数(118例)较对照组(8例)增加明显,差异有统计学意义(P＜0.05).超激光组患者NFD、Fug1-Meyer、MMSE及FMA较对照组明显提高,差异有统计学意义(P＜0.05).结论 HBO治疗联合星状神经节超激光照射可提高脑梗死患者运动功能、认知功能和日常生活活动能力.
목적 탐토고압양창내고압양(hyperbaric oxygen,HBO)연합성상신경절초격광조사치료대결혈성뇌졸중환자운동、인지화일상생활활동능력적영향.방법 경환자지정동의,장60례환자분위초격광조(HBO+양창내성상신경절초격광조사치료)화대조조(단순HBO),매조30례.채용NFD、Fug1-Meyer평정운동공능;MMSE평정인지공능;FMA평정일상생활활동능력;Barthel지수진행일상생활평분(activities of daily living,ADL).결과 치료후,초격광조ADL평분75～90적환자수(118례)교대조조(8례)증가명현,차이유통계학의의(P＜0.05).초격광조환자NFD、Fug1-Meyer、MMSE급FMA교대조조명현제고,차이유통계학의의(P＜0.05).결론 HBO치료연합성상신경절초격광조사가제고뇌경사환자운동공능、인지공능화일상생활활동능력.
Objective To observe the effects of hyperbaric oxygen therapy (HBOT) combined with stellate ganglion super laser irradiation in the hyperbaric chamber on the motor function,cognitive function and daily life activities of the patients with acute ischemic stroke.Methods Sixty patients with acute ischemic stroke were divided into 2 groups:the super laser irradiation group (with HBO + stellate ganglion super laser irradiation) and the control group (with HBO only).Motor function was evaluated with the neural function device (NFD) and Fug1-Meyer; cognitive function was assessed with mini-mental state exam (MMSE),daily life activity was assessed with FMA; and activities of daily living (ADL) were assessed with Barthel.Results Following treatment,ADL scores of both groups all increased,with the scores of the super laser irradiation group increasing more significantly than those of the control group.The scores of NFD,Fug1-Meyer,MMSE and FMA for the super laser irradiation group increased more significantly than those of the control group.Conclusions HBO combined with stellate ganglion super laser irradiation in the hyperbaric chamber could effectively improve the motor function,cognitive function and daily life activities of the patients with acute ischemic stroke.