高压氧综合治疗2型糖尿病性脑梗死54例临床疗效观察

Clinical observation of hyperbaric oxygen combination therapy on cerebral infarction complicated with type 2 diabete mellitus in 54 patients

目的观察2型糖尿病性脑梗死后行高压氧治疗的临床效果。方法糖尿病性脑梗死患者108例，采用完全随机设计法分为常规组54例和高压氧组54例。常规组给予饮食治疗、改善微循环药物、脑细胞活化剂、促醒药物、神经细胞营养药、能量合剂、针灸、推拿、功能锻炼、支持疗法等；高压氧组在常规治疗的基础上，加用高压氧治疗。以肢体功能、意识、语言功能恢复程度进行比较。结果常规组总有效率87．0％，高压氧组98．1％，2组疗效比较差异有统计学意义（P〈0．01）。结论高压氧综合治疗对糖尿病性脑梗死有较高的康复价值，值得临床推广应用。

Objective To explore the curative effect of hyperbaric oxygen （HBO） and non-HBO treatment for cerebral infarction complicated with type 2 diabetes＇s mellitus （DM）. Methods One hundred and-eight patients of cerebral infarction complicated with DM were equally divided into routine group and HBO group. The routine group received diet therapy, improving microcirculation, activate cerebral cell, awaking medicine, hippocampus neural cells, energy mixture, acupuncture, manipulation, exercise, support treatment and so on. The HBO group, besides the treatment mentioned above, was given HBO treatment. Results there were significant differences of tetraparesis, conscious disturbance, aphasia between the 2 groups （P 〈 0.01 ）. The overall response rate was87.0% in routine group and 98.1% in HBO group respectively. Conclusion HBO combination therapy is of higher rehabilitation value for cerebral infarction complicated with DM.