CAJ | 학술논문

目的：研究高压氧治疗不同疗程对脑卒中偏瘫患者步行能力的影响。方法54例脑卒中后步行障碍的患者随机分为对照组和治疗组，每组27例。对照组给予康复训练加高压氧治疗4周后再给予康复训练4周，治疗组给予康复训练加高压氧治疗共8周，采用10 m最大步行速度( MWS )评价步行速度、简化Fugl-Meyer量表( FMA )评价下肢运动功能，改良Barthel指数( MBI )评定日常生活活动能力。结果治疗前两组患者MWS、FMA、MBI评分差异无统计学意义(P＞0.05)；治疗4周后，两组MWS、FMA、MBI均较治疗前有明显好转(P＜0.05)，两组间差异无统计学意义(P＞0.05)；治疗8周后，MWS两组较治疗4周后差异无统计学意义(P＞0.05)，两组间比较差异无统计学意义(P＞0.05)；治疗8周后，FMA及MBI较治疗4周后差异有统计学意义(P＜0.05)，两组间比较差异有统计学意义(P＜0.05)。结论常规康复训练加以高压氧治疗4周，能够改善脑卒中偏瘫患者步行能力，高压氧治疗配合康复训练8周，能够进一步改善下肢功能及日常生活活动能力，但对提高步行速度无明显帮助。
목적：연구고압양치료불동료정대뇌졸중편탄환자보행능력적영향。방법54례뇌졸중후보행장애적환자수궤분위대조조화치료조，매조27례。대조조급여강복훈련가고압양치료4주후재급여강복훈련4주，치료조급여강복훈련가고압양치료공8주，채용10 m최대보행속도( MWS )평개보행속도、간화Fugl-Meyer량표( FMA )평개하지운동공능，개량Barthel지수( MBI )평정일상생활활동능력。결과치료전량조환자MWS、FMA、MBI평분차이무통계학의의(P＞0.05)；치료4주후，량조MWS、FMA、MBI균교치료전유명현호전(P＜0.05)，량조간차이무통계학의의(P＞0.05)；치료8주후，MWS량조교치료4주후차이무통계학의의(P＞0.05)，량조간비교차이무통계학의의(P＞0.05)；치료8주후，FMA급MBI교치료4주후차이유통계학의의(P＜0.05)，량조간비교차이유통계학의의(P＜0.05)。결론상규강복훈련가이고압양치료4주，능구개선뇌졸중편탄환자보행능력，고압양치료배합강복훈련8주，능구진일보개선하지공능급일상생활활동능력，단대제고보행속도무명현방조。
Objective To investigate the effects of different courses of hyperbaric oxygen treatm ent on w alking ability in stroke patients w ith hem iplegia.Methods 54 patients w ith im paired w alking ability after stroke w ere random ly divided into tw o groups:a control group and a treatm ent group w ith 27 cases in each group .A ll patients w ere given conventional rehabilitation training and hyperbaric oxygen treat-m ent.T he control group w ere treated for 4 weeks follow ed by another 4 weeks of rehabilitation training w hile the experim ental group for 8 weeks.They were assessed with 10-m Maximum W alking Speed(MW S),Fugl-MeyerAssessment(FMA)and Modified BarthelIndex(MBI)for walkingspeed,lowerlimbmotorfunction,andactivitiesofdailyliving.Results Beforethetreatment,thescoredifferencesofMWS,FMA, and MBI in both groups were not of statistical significance(P>0.05).After 4 weeks of treatm ent,MW S,FMA ,and MBI in both groups clearly im proved better than before the treatm ent(P<0 .05 ),but the differences w ere not of statistical significance (P>0 .05 ).A fter 8 weeks of treatm ent,the differences of MW S in both groups w ere not of statistical significance com pared to those after 4 weeks of treatm ent(P>0.05),and the differences in both groups w ere not of statistical significance(P>0.05).A fter 8 weeks of treatm ent,the differences of FMA and MB I in both groups w ere of statistical significance com pared to those after 4 weeks of treatm ent(P<0 .05 ),and the differences in both groups w ere of statistical significance (P<0 .05 ).Conclusion 4 weeks of conventional rehabilitation training and hyperbaric oxygen treat-m ent can im prove the w alking ability of stroke patients w ith hem iplegia;8 weeks of hyperbaric oxygen treatm ent and rehabilitation training can further im prove FMA and MB I in stroke patients w ith hem iplegia,but w ithout clear help for im proving w alking speed.