摘要
目的观察强制性运动(CIMT)联合高压氧(HBO)对痉挛性偏瘫患者神经功能恢复的临床疗效。方法选取脑卒中痉挛性偏瘫患者69例,随机分为HBO组、CIMT组和CIMT联合HBO组各23例,3组均在常规康复治疗基础上行相应治疗,分别于治疗前与治疗4周后对3组患者改良Ashworth分级、临床神经功能缺损评分、简化Fugl-Meyer运动量表(FMA)、Berg平衡量表(BBS)和Barthel指数评定变化进行对比分析。结果治疗4周后3组改良Ashworth评定和神经功能缺损评分均较治疗前明显下降(P<0.01),且CIMT组低于HBO组(P<0.05),CIMT联合HBO组更低于其他两组(P<0.05);3组患者FMA、BBS及Barthel指数的评分均较治疗前明显提高(P<0.01),且CIMT组高于HBO组(P<0.05),CIMT联合HBO组高于其他两组(P<0.05)。结论强制性运动联合高压氧能够减轻痉挛性偏瘫患者患侧肢体的肌张力,促进肢体运动功能、日常生活能力的恢复,有效改善痉挛性偏瘫患者神经功能及运动功能,从而提高患者的生活质量,改善预后。
Objective： To observe the effect of CIMT and HBO in the neural function recovery in spastic hemiplegia patients. Methods： 69 cases with spastic hemiplegia were randomly divided into the HBO group,the CIMT group and the CIMT plus HBO group with 23 cases in each group. The corresponding therapies were used in these groups on the basis of routine treatments. After 4 weeks,some indicators were compared in these groups including the Ashworth classification,the neurological deficits score,the FMA,the BBS and the Barthel index. Results： The Ashworth classification and the neurological deficits score were decreased obviously in 3 groups after treatment（P〈0.01）. The reduced degree in the CIMT group was lower than that in the HBO group（P〈0.05）.Moreover,that in the CIMT plus HBO group was the lowest in these groups（P〈0.05）. There were some indices in3 groups improved obviously such as the FMA,the BBS and the Barthel index（P〈0.01）. The improvement in the CIMT group was higher remarkably than that in the HBO group（P〈0.05）. However,that in the CIMT plus HBO group was the highest in 3 groups（P〈0.05）. Conclusion： CIMT and HBO can alleviate the muscle tension and improve the recoveries including motor function and daily living ability. It also improves the neural function and motor function in the spastic hemiplgia patients to increase the living qualities.
出处
《中国中医急症》
2015年第5期866-869,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
浙江省医药卫生科技计划项目(2014KYA224)
浙江省医药卫生科技计划项目(2012KYB238)
浙江省医药卫生科技计划项目(2010KYB124)
浙江省台州市科技计划项目(14SF03)
浙江省中医药科技计划项目(2011ZB158)
