中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
25期
43-46
,共4页
彭慧平%卢晓欣%汤永建%房卫红
彭慧平%盧曉訢%湯永建%房衛紅
팽혜평%로효흔%탕영건%방위홍
脑梗死%老年%高压氧%舱外高流量氧
腦梗死%老年%高壓氧%艙外高流量氧
뇌경사%노년%고압양%창외고류량양
Stroke%Elderly patients%Hyperbaric oxygen%Outside high-flow oxygen
目的 探讨高龄老年(≥70岁)急性脑梗死患者治疗中高压氧与舱外高流量氧的合理应用.方法 对2010年4月至2012年3月收治共140例急性脑梗死患者,采用随机数字表法分为高压氧组(69例)和舱外高流量氧组(71例),两组患者均进行常规药物治疗,即应用改善微循环、营养神经等药物,以及康复治疗.高压氧组加用高压氧治疗、舱外高流量氧组加用舱外高流量氧治疗.疗效采用美国国立卫生院脑卒中量表(NIHSS)神经功能缺损评分并根据患者生活状态进行综合评定.结果 舱外高流量氧组的总有效率高于高压氧组[98.6％(70/71)比91.3％(63/69)],差异有统计学意义(P＜0.05).高压氧组和舱外高流量氧组治疗后NIHSS评分均较治疗前显著改善[(15.6±1.8)分比(28.2±2.5)分和(10.4±1.7)分比(28.7±2.6)分],差异有统计学意义(P＜0.05),且治疗后舱外高流量氧组NIHSS评分明显低于高压氧组[(10.4±1.7)分比(15.6±1.8)分],差异有统计学意义(P＜0.05).舱外高流量氧组治疗依从性好于高压氧组,差异有统计学意义(P＜0.05).结论 高龄老年急性脑梗死患者应尽早行舱外高流量氧治疗,以促进疾病的康复.
目的 探討高齡老年(≥70歲)急性腦梗死患者治療中高壓氧與艙外高流量氧的閤理應用.方法 對2010年4月至2012年3月收治共140例急性腦梗死患者,採用隨機數字錶法分為高壓氧組(69例)和艙外高流量氧組(71例),兩組患者均進行常規藥物治療,即應用改善微循環、營養神經等藥物,以及康複治療.高壓氧組加用高壓氧治療、艙外高流量氧組加用艙外高流量氧治療.療效採用美國國立衛生院腦卒中量錶(NIHSS)神經功能缺損評分併根據患者生活狀態進行綜閤評定.結果 艙外高流量氧組的總有效率高于高壓氧組[98.6％(70/71)比91.3％(63/69)],差異有統計學意義(P＜0.05).高壓氧組和艙外高流量氧組治療後NIHSS評分均較治療前顯著改善[(15.6±1.8)分比(28.2±2.5)分和(10.4±1.7)分比(28.7±2.6)分],差異有統計學意義(P＜0.05),且治療後艙外高流量氧組NIHSS評分明顯低于高壓氧組[(10.4±1.7)分比(15.6±1.8)分],差異有統計學意義(P＜0.05).艙外高流量氧組治療依從性好于高壓氧組,差異有統計學意義(P＜0.05).結論 高齡老年急性腦梗死患者應儘早行艙外高流量氧治療,以促進疾病的康複.
목적 탐토고령노년(≥70세)급성뇌경사환자치료중고압양여창외고류량양적합리응용.방법 대2010년4월지2012년3월수치공140례급성뇌경사환자,채용수궤수자표법분위고압양조(69례)화창외고류량양조(71례),량조환자균진행상규약물치료,즉응용개선미순배、영양신경등약물,이급강복치료.고압양조가용고압양치료、창외고류량양조가용창외고류량양치료.료효채용미국국립위생원뇌졸중량표(NIHSS)신경공능결손평분병근거환자생활상태진행종합평정.결과 창외고류량양조적총유효솔고우고압양조[98.6％(70/71)비91.3％(63/69)],차이유통계학의의(P＜0.05).고압양조화창외고류량양조치료후NIHSS평분균교치료전현저개선[(15.6±1.8)분비(28.2±2.5)분화(10.4±1.7)분비(28.7±2.6)분],차이유통계학의의(P＜0.05),차치료후창외고류량양조NIHSS평분명현저우고압양조[(10.4±1.7)분비(15.6±1.8)분],차이유통계학의의(P＜0.05).창외고류량양조치료의종성호우고압양조,차이유통계학의의(P＜0.05).결론 고령노년급성뇌경사환자응진조행창외고류량양치료,이촉진질병적강복.
Objective To study the value of oxygen treatment on elderly patients with acute ischemic stroke.Methods From April 2010 to March 2012,a total of 140 cases of elderly patients with acute ischemic stroke for oxygen therapy combined with drug and rehabilitation were divided into two groups,outside high-flow oxygen group of 71 cases,hyperbaric oxygen group of 69 cases.The neurological functional defects scale was used to evaluate the effect.Two groups of patients were given conventional drug therapy including improving the microcirculation,vegetative neural drugs,and rehabilitation treatment.Results The total effectiveness respectively was 98.6％ (70/71),91.3％ (63/69),and there was significant difference (P ＜ 0.05).After treatment,the nerve function damage grades of two groups respectively was (10.4 ± 1.7),(15.6 ± 1.8) scores,and there was significant difference compared with that before treatment [(28.2 ± 2.5),(28.7 ± 2.6) scores] (P ＜ 0.05).There was significant difference in treatment adherence between two groups (P ＜ 0.05).Conclusion For patients of elderly patients with acute ischemic stroke,oxygen therapy is necessary,while outside high-flow oxygen therapy is better than hyperbaric oxygen therapy.
