悬吊训练系统结合高压氧治疗脑卒中的效果

Effect of Suspension Training System Combined with Hyperbaric Oxygen in the Treatment of Stroke

目的:探讨悬吊训练系统结合高压氧治疗对脑卒中患者的效果。方法:选取2022年6月—2023年12月在景德镇市第二人民医院康复医学科诊治的120例脑卒中患者,采用随机数字表法将患者分为对照组(n=30)、高压氧组(n=30)、悬吊组(n=30)和高压氧联合悬吊组(n=30),对照组采用常规治疗方法,高压氧组在对照组基础上加用高压氧治疗,悬吊组在对照组基础上加用悬吊训练系统治疗,高压氧联合悬吊组在高压氧组基础上采用悬吊训练系统治疗,所有患者均持续治疗4周。记录并比较四组患者的治疗前后运动功能上肢Fugl-Meyer量表(UL-FMA)、下肢Fugl-Meyer量表(FMA-L)评分]、平衡能力[Berg平衡量表(BBS)评分]、步行能力[功能性步行量表(FAC)评分、10 m最大步行速度(10MWS)]、生活质量[Barthel指数(BI)]。结果:治疗后,高压氧联合悬吊组的UL-FMA、FMA-L和BBS评分>悬吊组>高压氧组>对照组,差异均有统计学意义(P<0.05);四组FAC评分分布情况比较,差异有统计学意义(P<0.05);高压氧联合悬吊组的10MWS>悬吊组>高压氧组>对照组,差异均有统计学意义(P<0.05);高压氧联合悬吊组生活质量评分>悬吊组>高压氧组>对照组,差异均有统计学意义(P<0.05)。结论:悬吊训练系统结合高压氧治疗可以进一步改善脑卒中患者的运动功能和平衡能力,改善患者生活质量。

Objective:To explore the effect of suspension training system combined with hyperbaric oxygen therapy on stroke patients.Method:A total of 120 patients with stroke treated in Rehabilitation Medicine Department of the Second People's Hospital of Jingdezhen from June 2022 to December 2023 were selected.According to random number table method,they were divided into control group(n=30),hyperbaric oxygen group(n=30),suspension group(n=30)and hyperbaric oxygen combined suspension group(n=30).The control group was treated with conventional treatment,the hyperbaric oxygen group was treated with hyperbaric oxygen on the basis of the control group,the suspension group was treated with suspension training system on the basis of the control group,and the hyperbaric oxygen combined suspension group was treated with suspension training system on the basis of the hyperbaric oxygen group.All patients were treated for 4 weeks.The motor function[upper limb Fugl-Meyer assessment scale(UL-FMA),lower limb Fugl-Meyer assessment scale(FMA-L)scores],balance ability[Berg balance scale(BBS)scores],walking ability[functional ambulation category scale(FAC)scores,maximum walking speed of 10 m(10MWS)]and quality of life[Barthel index(BI)]were recorded and compared among the four groups before and after treatment.Result:After treatment,UL-FMA,FMA-L and BBS scores of hyperbaric oxygen combined suspension group>suspension group>hyperbaric oxygen group>control group,with statistical significance(P<0.05);comparison of FAC score distribution among four groups,the difference was statistically significant(P<0.05);10MWS of hyperbaric oxygen combined suspension group>suspension group>hyperbaric oxygen group>control group,the differences were statistically significant(P<0.05);the life quality scores of hyperbaric oxygen combined suspension group>suspension group>hyperbaric oxygen group>control group,the differences were statistically significant(P<0.05).Conclusion:Suspension training system combined with hyperbaric oxygen therapy can further improve motor function,balance ability and quality of life in stroke patients.