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

Abstract

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

CLC Number:

R743.3

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.

Figures/Tables 8

References 33

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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

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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