CAJ | 학술논문

目的：探讨高压氧联合针刺疗法对脑梗死患者功能恢复的效果。方法：选取260例肇庆市第一人民医院收治的脑梗死患者，随机分为联合组与针刺组，每组各130例，所有患者入院后均进行常规的对症支持治疗。针刺组采用针刺治疗，联合组在针刺组基础上采用高压氧治疗，比较两组患者的疗效、神经功能缺损（NIHSS）评分、Fugl-Meyer（FMA）运动功能评分及改良barthel（BI）指数评分。结果：联合组治疗：基本痊愈42例，显著进步57例，进步25例；针刺组治疗：基本痊愈31例，显著进步45例，进步24例；联合组治疗有效率显著高于针刺组，两组比较差异有统计学意义（P<0.05）；联合组治疗第10天、第20天、第30天时的NIHSS评分显著低于针刺组，两组比较差异有统计学意义（P<0.01）；联合组治疗第10天、第20天、第30天时FMA评分及BI评分显著高于针刺组，两组比较差异有统计学意义（P<0.01）。结论：高压氧联合针刺可更好的改善脑循环状况，提升预后，改善脑梗死患者的神经功能，运动功能状况。
목적：탐토고압양연합침자요법대뇌경사환자공능회복적효과。방법：선취260례조경시제일인민의원수치적뇌경사환자，수궤분위연합조여침자조，매조각130례，소유환자입원후균진행상규적대증지지치료。침자조채용침자치료，연합조재침자조기출상채용고압양치료，비교량조환자적료효、신경공능결손（NIHSS）평분、Fugl-Meyer（FMA）운동공능평분급개량barthel（BI）지수평분。결과：연합조치료：기본전유42례，현저진보57례，진보25례；침자조치료：기본전유31례，현저진보45례，진보24례；연합조치료유효솔현저고우침자조，량조비교차이유통계학의의（P<0.05）；연합조치료제10천、제20천、제30천시적NIHSS평분현저저우침자조，량조비교차이유통계학의의（P<0.01）；연합조치료제10천、제20천、제30천시FMA평분급BI평분현저고우침자조，량조비교차이유통계학의의（P<0.01）。결론：고압양연합침자가경호적개선뇌순배상황，제승예후，개선뇌경사환자적신경공능，운동공능상황。
Objective:To investigate the effect of hyperbaric oxygen combined with acupuncture therapy for cerebral infarction in patients with functional recovery.Method:260 patients with cerebral infarction were selected in the first people’s hospital of Zhaoqing.The patients were combined with the acupuncture group and randomly divided into acupuncture group and combined group,130 cases in each group,all patients were treated routine symptomatic and supportive treatment. Acupuncture group was treated acupuncture treatment,combined group based on the acupuncturegroup was combined with the use of hyperbaric oxygen therapy,the efficacy of two groups’ patients,neurological deficits(NIHSS)score,Fugl-Meyer(FMA)and improved motor function score barthel(BI)index score were compared.Result:The combined group:basic cured 42 cases,57 cases of significant progress,progress in 25 cases. Acupuncture group:basic cured 31 cases,45 cases of significant progress,progress in 24 cases. The combined group was significantly better than the acupuncture group,the difference was statistically significant(P<0.05);on therapy 10 d、20 d and 30 d,the combined group of NIHSS scores were significantly lower than the acupuncture group,the differences were statistically significant(P<0.01);the combined group of FMA scores and were BI scores significantly higher than the acupuncture group on the 10 d、20 d and 30 d,the differences were statistically significant(P<0.01) Conclusion:Hyperbaric oxygen combined with acupuncture may improve cerebral circulation and better conditions, improve the prognosis of patients with cerebral infarction and improve nerve function,motor function status.