高压氧对脑卒中患者单侧空间忽略的影响

Effect of Hyperbaric Oxygen on Unilateral Spatial Neglect

目的观察高压氧治疗对脑卒中单侧空间忽略(USN)偏瘫患者康复效果的影响。方法72例伴USN脑卒中患者分为实验组与观察组,实验组36例行高压氧治疗及常规USN康复,观察组36例仅行常规USN康复,同期无USN的90例患者作为对照组。3组均接受常规康复治疗。治疗前后采用Barthel指数(BI)进行评价。结果3组患者康复后BI均显著高于治疗前(P<0.001)。治疗前,实验组和观察组BI均低于对照组(P<0.05);康复后,观察组BI低于实验组(P<0.05),但两组与对照组间均无显著性差异(P>0.05)。结论USN影响偏瘫患者的生活自理能力,进行相应的纠正USN治疗可使USN患者的日常生活活动(ADL)能力提高;同时配合高压氧治疗疗效可能会更好。

Objective To investigate the effect of hyperbaric oxygen （HBO） on basic activities of daily living （B-ADL） of patients with unilateral spatial neglect （USN） after stroke. Methods 72 patients with USN after stroke were divided into the experimental group （group A1, 36 cases）, who received the training for USN and HBO, and observation group （group A2, 36 cases）, who received the training for USN alone. Other 90 stroke inpatients without USN at the same time were as control （group B）. All of them received routine rehabilitation, and were assessed with Modified Barthel Index （MBI） before and after treatment. Results Before treatment, the scores of MBI in the patients with USN （groups A1 and A2） were significantly lower than those in the control group （I3） （P^0.05）. The scores of MBI in all groups improved 6 weeks after treatments （P〈0. 001）. While, the scores in the group A2 were lower than that of the group A1, but both were not significantly different from control （P〈0. 05）. Conclusion USN would significantly impair the ADL of stroke patients, and the rehabilitation for USN may improve their ADL. HBO may improve the outcome.