高压氧综合治疗对颅内动脉瘤术后神经功能障碍和生活能力的康复作用

Effect of hyperbaric oxygen on the rehabilitation of neurologic function impairment and activities of daily living in patients with intracranial aneurysms after operation

目的观察高压氧综合康复治疗对颅内动脉瘤术后患者的神经功能缺损（NFI）和日常生活活动能力（ADL）的影响。方法术后患者平均分为对照组和高压氧组（每组40例），对照组予常规药物和理疗、针灸治疗；高压氧组在上述治疗基础上加用高压氧治疗，观察治疗前后临床疗效、神经功能缺损评分和Barthel的ADL评分。结果2组治疗后神经功能缺损评分较治疗前明显降低，治疗后高压氧组与对照组比较，NFI评分差异有统计学意义（分别为7．4±6．0和9．8±4．5，P〈0．05）；2组治疗后Barthel评分较治疗前有提高，治疗后高压氧组与对照组比较，Barthel评分差异亦有统计学意义（分别为42．7±11．6和35．3±10．4，P〈0．01）。高压氧治疗的疗效与开始治疗时间和Hunt—Hess动脉瘤分级有关。结论术后早期积极地运用高压氧综合康复治疗，可使颅内动脉瘤患者神经功能和生活活动能力得到明显改善，生活质量得以提高，

Objective To explore the influence of hyperbaric oxygen （HBO） combined with physical therapy and acupuncture on neurologic function impairment （NFI） and activities of daily living （ADL） in patients with intracranal aneurysms. Methods Eighty cases with intraeranial aneurysms were divided into two groups： treated with and without HBO besides conventional treatment. The scores of NFI and Barthel were evaluated before and after treatment. Results The score of NFI after treatment was lower than before in two groups and it was lower in HBO group than that in control group after treatment. At the same time, the score of ADL after treatment was higher significantly than before in two groups. After HBO treatment, both of NFI and ADL scores were higher than those in control group. Clinical effect was concerned with the day of beginning and Hunt-Hess grading system. Conclusions HBO combined with other rehabilitative training can be actively used in patients with intracranial aneurysms in the early stage after operation, which can improve nuerologic function, ADL and quality of life significantly.