作业疗法和高压氧联合治疗脑卒中的临床观察

THERAPEUTIC EFFECT OF HYPERBARIC OXPGEN COMBINED WITH OCCUPATIONAL THERAPY IN STORKE PATIENTS

目的：评价作业疗法和高压氧联合治疗脑卒中的疗效及安全性。方法将2012年10月∽2014年10月收治的100例脑卒中患者，随机分为治疗组和对照组各50例。对照组行常规的康复治疗，包括应用 Bobath 疗法为主，结合PNF、Rood等促通技术和运动再学习法，传统医学康复手段（针灸、推拿），物理因子（低、中频电等）方法进行康复治疗和针灸等；治疗组在此基础上给予作业疗法和高压氧联合治疗。对患者治疗前后分别进行 Fugl－Meyer运动评分（ FMA）及改良Barthel指数（MBI）的日常生活能力评分。结果治疗组治疗前、后Fugl－Meyer运动评分（FMA）及改良 Barthel指数（MBI）的日常生活能力评分明显优于对照组，差异有统计学意义（ p＜0.05）。结论作业疗法和高压氧联合治疗能够显著改善脑卒中患者运动功能及日常生活能力，进一步提高康复效果。

Objective To evaluate the efficacy and safety of the combined treatment of occupational therapy and hyperbaric oxygen in patients with stroke.Methods 100 cases of stroke patients treated in our department from October, 2012 to October, 2014 were divided randomly into treatment group （n=50） and control group （n=50）.They were all treated with Bobath therapy and acu-puncture and routine rehabilitation training .The treatment group used occupational therapy and hyperbaric oxygen therapy based on the above.Fugl-Meyer scale was used to assess the extremity motor function and Barthel index （ BI） was used to assess ADL before and after treatment.Results The treatment group had a significantly higher excellent rate, Fugl-Meyer score and Barthel index, lower side-effect rate as compared with the control group （p〈0.05）.Conclusion The combined therapy of occupational therapy and hyperbaric oxygen can significantly improve the motor function and ability of daily living in patients with stroke , and further im-prove rehabilitation effect.