高压氧联合针刺疗法对脑梗死患者神经功能恢复的作用

The Role of Hyperbaric Oxygen Combined with Acupuncture Therapy on Neurological Function in Patients with Cerebral Infarction

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。

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.