中国基层医药
中國基層醫藥
중국기층의약
Chinese Journal of Primary Medicine and Pharmacy
2015年
23期
3549-3551
,共3页
高压氧%颅脑损伤%康复
高壓氧%顱腦損傷%康複
고압양%로뇌손상%강복
Hyperbaric oxygen%Traumatic brain injury%Rehabilitation
目的：探讨高压氧在早期颅脑损伤患者康复治疗中对意识、运动、日常生活能力的影响，并观察临床疗效。方法将病程在1个月以内的重型颅脑损伤患者80例，采用随机数字表法分为观察组和对照组，每组40例。对照组给予神经外科常规治疗和康复训练，观察组在对照组治疗基础上给予高压氧治疗。于治疗前及治疗后1个月分别比较两组患者的意识状态（GCS 评分）、运动功能（FMA 评分）、日常生活能力（MBI 评分），并比较两组患者的临床疗效。结果对照组在治疗前 GCS、FMA、MBI 评分分别为（7．81±2.27）分、（26．05±22．58）分、（15．25±12．14）分，观察组为（7．78±2．32）分、（27．01±23．60）分、（14．37±12．54）分，各项评分差异均无统计学意义（均 P ＞0．05）；经1个月的治疗，对照组在治疗后 GCS、FMA、MBI 评分分别为（9．44±2．76）分、（43．10±31．54）分、（42．75±16．58）分，观察组为（10．67±2．48）分、（56．98±29.68）分、（52．76±17．23）分；两组患者在 GCS、FMA、MBI 各项评分均有提高，观察组较对照组提高更多，临床疗效更明显，差异均有统计学意义（P ＝0．039、0．046、0．009）。结论高压氧在早期颅脑损伤患者的康复治疗中起积极作用，有利于患者意识状态、运动功能及日常生活自理能力的提高，改善患者预后。
目的：探討高壓氧在早期顱腦損傷患者康複治療中對意識、運動、日常生活能力的影響，併觀察臨床療效。方法將病程在1箇月以內的重型顱腦損傷患者80例，採用隨機數字錶法分為觀察組和對照組，每組40例。對照組給予神經外科常規治療和康複訓練，觀察組在對照組治療基礎上給予高壓氧治療。于治療前及治療後1箇月分彆比較兩組患者的意識狀態（GCS 評分）、運動功能（FMA 評分）、日常生活能力（MBI 評分），併比較兩組患者的臨床療效。結果對照組在治療前 GCS、FMA、MBI 評分分彆為（7．81±2.27）分、（26．05±22．58）分、（15．25±12．14）分，觀察組為（7．78±2．32）分、（27．01±23．60）分、（14．37±12．54）分，各項評分差異均無統計學意義（均 P ＞0．05）；經1箇月的治療，對照組在治療後 GCS、FMA、MBI 評分分彆為（9．44±2．76）分、（43．10±31．54）分、（42．75±16．58）分，觀察組為（10．67±2．48）分、（56．98±29.68）分、（52．76±17．23）分；兩組患者在 GCS、FMA、MBI 各項評分均有提高，觀察組較對照組提高更多，臨床療效更明顯，差異均有統計學意義（P ＝0．039、0．046、0．009）。結論高壓氧在早期顱腦損傷患者的康複治療中起積極作用，有利于患者意識狀態、運動功能及日常生活自理能力的提高，改善患者預後。
목적：탐토고압양재조기로뇌손상환자강복치료중대의식、운동、일상생활능력적영향，병관찰림상료효。방법장병정재1개월이내적중형로뇌손상환자80례，채용수궤수자표법분위관찰조화대조조，매조40례。대조조급여신경외과상규치료화강복훈련，관찰조재대조조치료기출상급여고압양치료。우치료전급치료후1개월분별비교량조환자적의식상태（GCS 평분）、운동공능（FMA 평분）、일상생활능력（MBI 평분），병비교량조환자적림상료효。결과대조조재치료전 GCS、FMA、MBI 평분분별위（7．81±2.27）분、（26．05±22．58）분、（15．25±12．14）분，관찰조위（7．78±2．32）분、（27．01±23．60）분、（14．37±12．54）분，각항평분차이균무통계학의의（균 P ＞0．05）；경1개월적치료，대조조재치료후 GCS、FMA、MBI 평분분별위（9．44±2．76）분、（43．10±31．54）분、（42．75±16．58）분，관찰조위（10．67±2．48）분、（56．98±29.68）분、（52．76±17．23）분；량조환자재 GCS、FMA、MBI 각항평분균유제고，관찰조교대조조제고경다，림상료효경명현，차이균유통계학의의（P ＝0．039、0．046、0．009）。결론고압양재조기로뇌손상환자적강복치료중기적겁작용，유리우환자의식상태、운동공능급일상생활자리능력적제고，개선환자예후。
Objective To investigate the effect of hyperbaric oxygen therapy on awareness,sports,activities of daily living in the rehabilitation of patients with early traumatic brain injury,and to observe the curative effect. Methods 80 patients with severe traumatic brain injury whose disease course within 1 months were randomly divided into observation group and control group,40 cases in each group.The control group received conventional drug therapy in neurosurgery and rehabilitation training.The observation group received hyperbaric oxygen therapy on the basis of the control group.Before treatment and one month after treatment,consciousness (GCS score),motor function (FMA score),activities of daily living (MBI score),and the clinical efficacy were compared between two groups.Results The scores of FMA,MBI and GCS in the control group were (7.81 ±2.27),(26.05 ±22.58),(15.25 ±12.14), which in the observation group were (7.78 ±2.32),(27.01 ±23.60),(14.37 ±12.54),and the differences were not significant (P >0.05).After 1 month of treatment,the scores of the control group were (9.44 ±2.76),(43.10 ± 31.54),(42.75 ±16.58),which of the observation group were (10.67 ±2.48),(56.98 ±29.68),(52.76 ± 17.23).The scores in the two groups were improved,the observation group increased more and the clinical efficacy was more obvious,there were significant differences between the two groups (P =0.039,0.046,0.009).Conclusion Hyperbaric oxygen plays an active role in early rehabilitation of patients with traumatic brain injury,it can improve consciousness,motor function and activities of daily living,and can improve the prognosis.
