高压氧联合互动式头针对脑卒中后偏瘫患者运动功能的效果

doi:10.3969/j.issn.1006-9771.2023.00.001

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (10): 1208-1213.doi: 10.3969/j.issn.1006-9771.2023.00.001

高压氧联合互动式头针对脑卒中后偏瘫患者运动功能的效果

袁慧萍¹, 冯小军²(), 蒋东生¹, 车兴旺¹, 范连彬¹

1.阜阳市人民医院康复医学科，安徽阜阳市 236000
2.安徽医科大学第二附属医院康复医学科，安徽合肥市 230000

收稿日期:2023-06-08 修回日期:2023-08-16 出版日期:2023-10-25 发布日期:2023-11-16
通讯作者: 冯小军(1984-)，男，汉族，安徽庐江市人，博士，副教授、副主任医师，硕士研究生导师，主要研究方向：神经康复。E-mail： fengxiaojun@ahmu.edu.cn
作者简介:袁慧萍(1989-)，女，汉族，安徽马鞍山市人，硕士，主治医师，主要研究方向：神经康复、重症康复。
基金资助:
安徽省科技厅重点研究与开发计划项目(202004j07020040);阜阳市自筹经费科技计划项目(FK202081042)

Effect of hyperbaric oxygen combined with dynamic scalp acupuncture on motor function for stroke patients with hemiplegia

YUAN Huiping¹, FENG Xiaojun²(), JIANG Dongsheng¹, CHE Xingwang¹, FAN Lianbin¹

1. Department of Rehabilitation Medicine, Fuyang People's Hospital, Fuyang, Anhui 236000, China
2. Department of Rehabilitation Medicine, the Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230000, China

Received:2023-06-08 Revised:2023-08-16 Published:2023-10-25 Online:2023-11-16
Contact: FENG Xiaojun, E-mail: fengxiaojun@ahmu.edu.cn
Supported by:
Anhui Science and Technology Department Key Research and Development Program(202004j07020040);Fuyang Self-funded Science and Technology Plan(FK202081042)

摘要/Abstract

摘要：

目的探讨高压氧联合互动式头针对脑卒中后运动功能障碍的效果，并比较舱内与舱外行互动式头针的疗效。
方法 2021年1月至2022年6月，阜阳市人民医院脑卒中偏瘫住院患者72例随机分为对照组、联合1组和联合2组，各24例。3组均接受常规治疗，对照组接受互动式头针治疗，联合1组接受高压氧和舱外互动式头针治疗，联合2组接受高压氧和舱内互动式头针治疗，共4周。治疗前后，采用美国国立卫生研究院卒中量表(NIHSS)、改良Barthel指数(MBI)、Berg平衡量表(BBS)和Fugl-Meyer评定量表(FMA)进行评定;首次治疗和末次治疗时，采用指脉氧仪监测静息脉搏血氧饱和度(SpO₂)、最低SpO₂ (SpO_2L)和活动中SpO₂波动值(ΔSpO₂)。
结果治疗后，3组NHISS、MBI、BBS和FMA评分均显著提高(|t| > 7.681, P < 0.001)，联合1组和联合2组均优于对照组(P < 0.05)。联合2组首次治疗和末次治疗的静息SpO₂、SpO_2L均高于其他两组，ΔSpO₂低于其他两组(P < 0.05);联合1组末次治疗SpO_2L高于对照组(P < 0.05)。
结论高压氧联合互动式头针可明显改善脑卒中偏瘫患者运动功能和携氧能力。

关键词: 脑卒中, 偏瘫, 高压氧, 互动式头针, 运动功能

Abstract:

Objective To investigate the effect of hyperbaric oxygen combined with dynamic scalp acupuncture on motor function for stroke patients with hemiplegia, and compare the effect of dynamic scalp acupuncture inside or outside hyperbaric oxygen chamber.
Methods From January, 2021 to June, 2022, 72 stroke inpatients with hemiplegia in Fuyang People's Hospital were randomly divided into control group (n = 24), combination group 1 (n = 24) and combination group 2 (n = 24). All the patients received routine treatment, while the control group received dynamic scalp acupuncture, the combination group 1 received hyperbaric oxygen and dynamic scalp acupuncture outside the hyperbaric oxygen chamber, and the combination group 2 received hyperbaric oxygen and dynamic scalp acupuncture inside the hyperbaric oxygen chamber, for four weeks. They were assessed with National Institutes of Health Stroke Scale (NIHSS), modified Barthel Index (MBI), Berg Balance Scale (BBS), and Fugl-Meyer Assessment (FMA) before and after treatment. The rest pulse oximetry saturation (SpO₂)，the lowest SpO₂ (SpO_2L) and the variation of SpO₂ (ΔSpO₂) were measured in the first and last treatment.
Results The scores of NHISS, MBI, BBS and FMA increased in all the groups after treatment (|t| > 7.681, P < 0.001), and they were more in both the combination group 1 and the combination group 2 than in the control group (P < 0.05). During the first and last treatment, the rest SpO₂ and SpO_2L increased in the combination group 2 compared with the control group and the combination group 1 (P < 0.05), while ΔSpO₂ decreased (P < 0.05); and SpO_2L increased in the combination group 1 compared with the control group during the last treatment.
Conclusion The combination of hyperbaric oxygen and dynamic scalp acupuncture can significantly improve motor function and oxygen-carrying capacity in stroke patients with hemiplegia.

Key words: stroke, hemiplegia, hyperbaric oxygen, dynamic scalp acupuncture, motor function

中图分类号:

R743.3

袁慧萍, 冯小军, 蒋东生, 车兴旺, 范连彬. 高压氧联合互动式头针对脑卒中后偏瘫患者运动功能的效果[J]. 《中国康复理论与实践》, 2023, 29(10): 1208-1213.

YUAN Huiping, FENG Xiaojun, JIANG Dongsheng, CHE Xingwang, FAN Lianbin. Effect of hyperbaric oxygen combined with dynamic scalp acupuncture on motor function for stroke patients with hemiplegia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(10): 1208-1213.

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组别	n	性别(男/女)/n	年龄/岁	病程/d	卒中类型(梗死/出血)/n
对照组	24	16/8	56.0±8.5	57.1±18.9	12/12
联合1组	24	15/9	57.5±12.5	56.1±19.2	12/12
联合2组	24	16/8	55.5±11.8	56.3±19.4	12/12
χ²/F值		0.123	0.209	0.018	0.000
P值		0.941	0.812	0.982	1.000

组别	n	治疗前	治疗后	t值	P值
对照组	24	13.8±2.3	10.8±2.6	12.844	< 0.001
联合1组	24	13.8±1.8	8.6±1.6^a	39.734	< 0.001
联合2组	24	13.7±1.8	7.6±2.3^a	27.339	< 0.001
F值		0.026	12.634
P值		0.975	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	24	27.9±11.8	42.5±10.3	-17.221	< 0.001
联合1组	24	28.1±7.3	50.8±13.2^a	-11.933	< 0.001
联合2组	24	28.1±8.3	54.8±16.5^a	-9.990	< 0.001
F值		0.004	5.130
P值		0.996	0.008

组别	n	治疗前	治疗后	t值	P值
对照组	24	19.2±7.9	26.5±9.7	-8.754	< 0.001
联合1组	24	19.5±6.5	31.8±6.8^a	-11.424	< 0.001
联合2组	24	19.3±6.8	33.8±8.0^a	-7.681	< 0.001
F值		0.011	4.941
P值		0.989	0.010

组别	n	治疗前	治疗后	t值	P值
对照组	24	29.1±9.5	44.1±12.6	-15.702	< 0.001
联合1组	24	29.1±8.6	54.4±12.1^a	-17.395	< 0.001
联合2组	24	29.5±12.5	58.2±13.6^a	-20.776	< 0.001
F值		0.012	7.882
P值		0.988	0.001

高压氧联合互动式头针对脑卒中后偏瘫患者运动功能的效果

Effect of hyperbaric oxygen combined with dynamic scalp acupuncture on motor function for stroke patients with hemiplegia

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组别	n	首次治疗	末次治疗	t值	P值
对照组	24	97.6±0.9	97.6±0.8	-0.440	0.664
联合1组	24	97.7±0.8	97.8±0.7	-1.000	0.328
联合2组	24	99.7±0.5^a,b	99.8±0.4^a,b	-1.813	0.083
F值		59.297	76.378
P值		< 0.001	< 0.001

组别	n	首次治疗	末次治疗	t值	P值
对照组	24	94.3±1.3	95.1±0.8	-3.890	0.001
联合1组	24	94.5±1.1	95.6±0.8^a	-5.820	< 0.001
联合2组	24	99.4±0.5^a,b	99.5±0.6^a,b	-1.000	0.328
F值		180.444	244.294
P值		< 0.001	< 0.001

组别	n	首次治疗	末次治疗	t值	P值
对照组	24	3.3±1.0	2.5±0.9	4.389	< 0.001
联合1组	24	3.2±1.0	2.2±0.7	6.328	< 0.001
联合2组	24	0.3±0.5^a,b	0.3±0.5^a,b	-0.569	0.575
F值		89.723	65.019
P值		< 0.001	< 0.001

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