高压氧联合运动想象和舱内运动治疗脑梗死偏瘫的临床效果

Clinical effect of hyperbaric oxygen combined with motor imagination and in-cabin exercise in the treatment of cerebral infarction hemiplegia

目的探讨高压氧联合运动想象和舱内运动治疗脑梗死偏瘫的临床效果。方法选取2016年6月~2018年8月我院经临床确诊的100例脑梗死偏瘫肢体运动功能障碍患者作为研究对象,将其随机分为治疗组(n=50)和对照组(n=50)。两组患者均在内科行综合治疗后,全部患者均采用单人纯氧舱进行高压氧治疗,治疗组在舱内同时给予运动想象疗法。比较两组患者治疗前后的运动功能(上肢Brunnstrom功能分级、下肢Brunnstrom功能分级)及生活自理能力[日常活动能力改良巴氏(Barthel)指数评分]。结果两组患者治疗前的上肢Brunnstrom功能分级、下肢Brunnstrom功能分级、日常活动能力改良Barthel指数评分比较,差异无统计学意义(P>0.05);两组患者治疗后的上肢Brunnstrom功能分级、下肢Brunnstrom功能分级均优于治疗前,日常活动能力改良Barthel指数评分均高于治疗前,差异有统计学意义(P<0.05);治疗组患者治疗后的上肢Brunnstrom功能分级、下肢Brunnstrom功能分级均优于对照组,日常活动能力改良Barthel指数评分高于对照组,差异有统计学意义(P<0.05)。结论高压氧联合运动想象和舱内运动治疗能提高脑梗死偏瘫患者运动功能及生活自理能力。

Objective To explore the clinical effect of hyperbaric oxygen combined with motor imagination and in-cabin exercise in the treatment of cerebral infarction hemiplegia. Methods A total of 100 patients with cerebral infarction hemiplegia motor dysfunction diagnosed in our hospital from June 2016 to August 2018 were selected as subjects and randomly divided into treatment group(n=50) and control group(n=50). After the comprehensive treatment of patients in the two groups in the internal medicine department, all patients were treated with hyperbaric oxygen in a single pure oxygen chamber, and the treatment group was given the motor imagination therapy in the cabin. The motor function(upper limb Brunnstrom functional grading, lower limb Brunnstrom functional grading) and self-care ability(daily activity ability improved Barthel index score) were compared of the two groups before and after treatment. Results There were no significant differences in the Brunnstrom functional grading of the upper limb, the Brunnstrom functional grading of the lower limb, and the daily activity ability improved Barthel index score before treatment(P>0.05). The Brunnstrom functional grading of the upper limbs and the Brunnstrom functional grading of the lower limbs after treatment in the two groups were better than those before treatment, the daily activity ability improved Barthel index scores were higher than those before treatment, and the differences were statistically significant(P<0.05). The Brunnstrom functional grading of the upper limbs and the Brunnstrom functional grading of the lower limbs after treatment in the treatment group were better than those in the control group, the daily activity ability improved Barthel index score was higher than that in the control group, and the differences were statistically significant(P<0.05). Conclusion The oxygen combined with motor imagination and in-cabin exercise therapy can improve motor function and self-care ability of patients with cerebral infarction hemiplegia.