高压氧综合康复治疗对脑卒中患者功效恢复的NIHSS评分及疗效分析

NIHSS Score and Curative Effect of Hyperbaric Oxygen Comprehensive Rehabilitation Therapy on Efficacy Recovery of Stroke Patients

目的探讨对脑卒中患者提供高压氧综合康复治疗的效果,及对神经功能缺损程度量表(National Institute of Health Stroke Scale,NIHSS)的评分的影响。方法方便选取2017年1月—2022年12月威海市中心医院收治的116例脑卒中患者为研究对象,随机数表法分为两组,对照组(58例)施以常规治疗和综合康复治疗,研究组(58例)在对照组基础上施以高压氧,比较两组治疗效果。结果研究组的治疗有效率为96.55%,高于对照组的84.48%,差异有统计学意义(χ^(2)=4.921,P<0.05)。治疗前两组NIHSS评分、认知功能评分相比,差异无统计学意义(P均>0.05);治疗后,研究组的NIHSS评分低于对照组,认知功能评分高于对照组,差异有统计学意义(P均<0.05)。治疗前,两组肢体运动功能评分、日常生活活动能力评分相比,差异无统计学意义(P均>0.05);治疗后,研究组的评分均高于对照组,差异有统计学意义(P<0.05)。治疗前两组脑血流动力学指标对比,差异无统计学意义(P>0.05);治疗后,研究组的平均血流速度、舒张末期流速、收缩期峰流速水平均高于对照组,搏动指数水平低于对照组,差异有统计学意义(P均<0.05)。结论为脑卒中患者提供高压氧综合康复治疗的效果确切,可改善神经功能缺损程度、脑血流动力学、提升日常生活活动能力。

Objective To explore the effect of hyperbaric oxygen comprehensive rehabilitation therapy on stroke patients and the effect on the score of national institute of health stroke scale(NIHSS).Methods 116 cases of stroke patients admitted to Weihai Central Hospital from January 2017 to December 2022 were conveniently selected as the study objects and divided into two groups by random number table method,the control group(58 cases)was administered conventional treatment and comprehensive rehabilitation treatment,and the research group(58 cases)was administered hyperbaric oxygen on the basis of the control group,comparing the final therapeutic effects of the two groups.Results The treatment effectiveness rate of the study group was 96.55%,which was higher than that of the control group(84.48%),and the difference was statistically significant(χ^(2)=4.921,P<0.05).There were no statistically significant differences in the NIHSS scores and cognitive function scores between the two groups before treatment compared to the control group(both P>0.05);after treatment,the NIHSS scores of the study group were lower than that in the control group,and the cognitive function scores were higher than that in the control group,and the differences were statistically significant(both P<0.05).There were no statistically significant differences in limb motor function scores and ability to perform activities of daily living scores between the two groups before treatment(both P>0.05);after treatment,the scores of the study group were higher than those of the control group,and the differences were statistically significant(both P<0.05).Comparison of cerebral hemodynamic indexes between the groups before treatment,and the differences were not statistically significant(P>0.05);after treatment,the levels of mean blood flow velocity,end-diastolic flow velocity,and peak systolic flow velocity of the study group were higher than those of the control group,and the level of pulsatility index was lower than that of the control group,and the differences were statistically significant(all P<0.05).Conclusion Hyperbaric oxygen comprehensive rehabilitation therapy for stroke patients has a definite effect,which can improve the degree of neurological impairment,cerebral hemodynamics,and enhance the ability of daily living activities.