中华航海医学与高气压医学杂志
中華航海醫學與高氣壓醫學雜誌
중화항해의학여고기압의학잡지
CHINESE JOURNAL OF NAUTICAL MEDICINE AND HYPERBARIC MEDICINE
2014年
5期
317-320
,共4页
高压氧%急性脑卒中%吞咽障碍%脑血流量
高壓氧%急性腦卒中%吞嚥障礙%腦血流量
고압양%급성뇌졸중%탄인장애%뇌혈류량
Hyperbaric oxygen%Acute cerebral infarction%Dysphagia%Cerebral blood flow
目的 探讨高压氧(hyperbaric oxygen,HBO)治疗联合吞咽功能训练对急性脑卒中后吞咽功能障碍患者的康复效果及机制.方法 经患者知情同意,并经医院伦理委员会批准后,将68例患者分为HBO治疗组(HBO组)和对照组,每组34例,2组均行常规药物治疗和吞咽训练,治疗组在此基础上加用HBO治疗.2组治疗前、治疗后1个月进行洼田氏饮水评分、藤岛一郎吞咽(VFS)评分,并用经颅多普勒(TCD)检测治疗前后脑血流.结果 洼田氏饮水评分、VFS评分显示,2组患者的吞咽障碍治疗后均较治疗前明显改善(HBO组P＜0.01,对照组P＜0.05);与对照组比,HBO组治疗后改善较更明显.洼田氏饮水评分:治疗前4.05±0.91,治疗后1.68±0.54;VFS评分:治疗前3.96±1.29,治疗后7.15±1.93(均P＜0.01).TCD检查结果显示,2组治疗后较治疗前脑血流量明显增加(治疗组P＜0.01,对照组P＜0.05).结论 HBO治疗对急性脑卒中后吞咽功能障碍患者康复效果显著,并能改善脑血流量.
目的 探討高壓氧(hyperbaric oxygen,HBO)治療聯閤吞嚥功能訓練對急性腦卒中後吞嚥功能障礙患者的康複效果及機製.方法 經患者知情同意,併經醫院倫理委員會批準後,將68例患者分為HBO治療組(HBO組)和對照組,每組34例,2組均行常規藥物治療和吞嚥訓練,治療組在此基礎上加用HBO治療.2組治療前、治療後1箇月進行窪田氏飲水評分、籐島一郎吞嚥(VFS)評分,併用經顱多普勒(TCD)檢測治療前後腦血流.結果 窪田氏飲水評分、VFS評分顯示,2組患者的吞嚥障礙治療後均較治療前明顯改善(HBO組P＜0.01,對照組P＜0.05);與對照組比,HBO組治療後改善較更明顯.窪田氏飲水評分:治療前4.05±0.91,治療後1.68±0.54;VFS評分:治療前3.96±1.29,治療後7.15±1.93(均P＜0.01).TCD檢查結果顯示,2組治療後較治療前腦血流量明顯增加(治療組P＜0.01,對照組P＜0.05).結論 HBO治療對急性腦卒中後吞嚥功能障礙患者康複效果顯著,併能改善腦血流量.
목적 탐토고압양(hyperbaric oxygen,HBO)치료연합탄인공능훈련대급성뇌졸중후탄인공능장애환자적강복효과급궤제.방법 경환자지정동의,병경의원윤리위원회비준후,장68례환자분위HBO치료조(HBO조)화대조조,매조34례,2조균행상규약물치료화탄인훈련,치료조재차기출상가용HBO치료.2조치료전、치료후1개월진행와전씨음수평분、등도일랑탄인(VFS)평분,병용경로다보륵(TCD)검측치료전후뇌혈류.결과 와전씨음수평분、VFS평분현시,2조환자적탄인장애치료후균교치료전명현개선(HBO조P＜0.01,대조조P＜0.05);여대조조비,HBO조치료후개선교경명현.와전씨음수평분:치료전4.05±0.91,치료후1.68±0.54;VFS평분:치료전3.96±1.29,치료후7.15±1.93(균P＜0.01).TCD검사결과현시,2조치료후교치료전뇌혈류량명현증가(치료조P＜0.01,대조조P＜0.05).결론 HBO치료대급성뇌졸중후탄인공능장애환자강복효과현저,병능개선뇌혈류량.
Objective To explore the effect of hyperbaric oxygen (HBO) combined with swallowing function training on the recovery of dysphagia following acute stroke and also to analyze the mechanism involved.Methods With the knowledge and consent of the patients and following approval by the Hospital Ethics Committee,68 patients were divided into the HBO group and the control group,each consisting of 34 patients.The two groups all received routine drug therapy and swallowing function training,but the HBO group had supplementary HBO treatment in addition to drug therapy.Scores of WaTian's Drinking Water and Cane Island Ichiro Swallowing (VFS) were assessed for the 2 groups both before and after treatment,and 1 month after treatment.Transcranial Doppler (TCD) detection was made to monitor cerebral blood flow both before and after treatment.Results After treatment,scores of WaTian 's Drinking Water and Cane Island Ichiro Swallowing (VFS) for the 2 groups were all significantly improved,as compared with those before treatment (P ＜ 0.01,P ＜ 0.05).HBO group were significantly improved after treatment,as compared with the control group(P ＜0.01).Cerebral blood flow for the HBO group significantly increased after treatment,as compared with that before treatment (P ＜ 0.01,P ＜ 0.05).Conclusions HBO therapy could achieve significant effects on the recovery of dysphagia in patients with acute cerebral infarction and could improve cerebral blood flow as well.
