《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (04): 334-335.

• 临床研究 • 上一篇    下一篇

早期康复结合高压氧治疗脑卒中患者的疗效观察

廖亮华; 罗伟良; 姜琴; 陈树丹; 江兴妹   

  1. 广东医学院附属惠州医院 惠州市中心人民医院神经内科 广东惠州市 516001
  • 收稿日期:2005-10-21 出版日期:2006-04-25 发布日期:2006-04-25

Effects of Early Rehabilitation and Hyperbaric Oxygen Treatments on Stroke Patients

LIAO Liang-hua, LUO Wei-liang, JIANG Qin, et al   

  1. The Department of Neurology, The Central People's Hospital of Huizhou, Huizhou 516001, Guangdong, China
  • Received:2005-10-21 Published:2006-04-25 Online:2006-04-25

摘要: 目的观察早期康复结合高压氧治疗对脑卒中患者生活活动能力和认知功能的影响。方法将80例脑卒中患者随机分为康复组和对照组各40例;两组患者均接受一般神经内科治疗及高压氧治疗,康复组加用Bobah技术、运动再学习法;采用MBI指数评定患者的日常生活活动能力(ADL),简易精神状态评定量表(MMSE)评定患者的认知功能。结果两组患者治疗前后和组间的MMSE和MBI评分比较有显著性差异(P<0.05),且评分的变化均数比较显示康复组的ADL和认知功能恢复显著优于对照组(P<0.001)。结论早期康复结合高压氧治疗对患者的ADL和认知功能有良好的促进作用。

关键词: 脑卒中, 早期康复, 高压氧, 认知功能, 日常生活活动能力

Abstract: ObjectiveTo observe effects of early rehabilitation and hyperbaric oxygen treatments on stroke patients.Methods80 patients were randomly divided into rehabilitation group (40 cases) and control group (40 cases). Patients in rehabilitation group were treated with rehabilitation and hyperbaric oxygen treatments; patients in control group were treated only with hyperbaric oxygen treatment. The activities of daily living (ADL) were assessed by modified Barthel index (MBI), and the cognition function was measured by mimi-mental state examination (MMSE).ResultsAfter treatment the scores of MMSE and MBI of two groups increased (P<0.05) and scores of rehabilitation group were higher than that of control group (P<0.05); the process of scores in rehabibilitation group were obviously superior to that in control group (P<0.001).ConclusionEarly rehabilitation and hyperbaric oxygen treatments can obviously improve cognition function and ADL of stroke patients.

Key words: stoke, early rehabilitation, hyperbaric oxygen, cognition function, activities of daily living (ADL)