高压氧联合任务导向性镜像疗法对脑梗死患者上肢运动功能恢复及运动诱发电位的影响

Effects of hyperbaric oxygen combined with task-oriented mirror therapy on upper limb motor function recovery and motor evoked potentials in patients with cerebral infarction

目的探讨高压氧联合任务导向性镜像疗法对脑梗死患者上肢运动功能恢复及运动诱发电位的影响。方法选择2017年1月至2020年6月南京市溧水区人民医院收治的恢复期脑梗死患者80例,按随机数字表法分为对照组和观察组,每组40例。对照组给予任务导向性镜像疗法,观察组在任务导向性镜像疗法前给予高压氧治疗,比较2组患者治疗前及治疗后上肢运动功能、运动诱发电位皮质潜伏期(CL)、中枢运动传导时间(CMCT)及日常生活活动能力。结果治疗前2组患者上肢运动功能评分、CL、CMCT及日常生活活动能力评分比较,差异无统计学意义(P>0.05)。治疗后观察组上肢运动功能评分为(41.51±4.28)分,高于对照组的(34.87±3.44)分,差异有统计学意义(P<0.05);观察组CL、CMCT分别为(21.89±0.97)ms、(9.24±0.70)ms,短于对照组的(22.91±0.92)ms、(9.96±0.83)ms,差异均有统计学意义(P<0.05);观察组日常生活活动能力评分为(65.42±7.90)分,高于对照组的(58.79±8.32)分,差异有统计学意义(P<0.05)。结论高压氧联合任务导向性镜像疗法能够改善恢复期脑梗死患者中枢神经运动传导功能,并促进上肢运动功能和日常生活活动能力恢复。

Objective To explore the effects of hyperbaric oxygen combined with task-oriented mirror therapy on the upper limb motor function(ULMF)recovery and motor evoked potentials(MEPs)in patients with cerebral infarction.Methods A total of 80 convalescent patients with cerebral infarction admitted to Nanjing Lishui People’s Hospital from January 2017 to June 2020 were selected and divided into control group and observation group according to the random number table method,with 40 cases in each group.The control group was given task-oriented mirror therapy,and the observation group was treated with hyperbaric oxygen therapy on the basis of the treatment in the control group.The ULFM,the cortex latency(CL)of MEPs,the central motor conduction time(CMCT),and patients’daily functioning before and after treatment were compared between the two groups.Results Before treatment,there was no significant difference in ULMF score,CL of MEPs,CMCT,and daily functioning between the two groups(P>0.05).After treatment,the ULMF score in the observation group(41.51±4.28)was higher than that in the control group(34.87±3.44),with a statistically significant difference(P<0.05);the CL and CMCT in the observation group[(21.89±0.97)ms and(9.24±0.70)ms,respectively]were all shorter than those in the control group[(22.91±0.92)ms and(9.96±0.83)ms,respectively],with statistically significant differences(P<0.05);the daily functioning score in observation group(65.42±7.90)was higher than that in the control group(58.79±8.32),with a statistically significant difference(P<0.05).Conclusion Hyperbaric oxygen combined with task-oriented mirror therapy can improve the central nerve conduction of the convalescent patients with cerebral infarction,thus promoting their recovery of ULMF and daily functioning.