首页|高压氧联合康复训练对动脉瘤性蛛网膜下腔出血患者术后恢复的影响

高压氧联合康复训练对动脉瘤性蛛网膜下腔出血患者术后恢复的影响

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目的:探讨高压氧联合康复训练对动脉瘤性蛛网膜下腔出血(aSAH)患者术后恢复的影响.方法:选取 2019 年 9 月至2022年9月该院收治的80例aSAH患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各40例.对照组接受常规康复训练,观察组在对照组基础上予以高压氧疗法.比较两组干预前后氧化应激指标[超氧化物歧化酶(SOD)、总抗氧化能力(T-AOC)、晚期氧化蛋白产物(AOPP)、丙二醛(MDA)]水平、美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数(BI)评分及格拉斯哥预后量表(GOS)评分.结果:干预后,观察组血清SOD、T-AOC水平及BI、GOS评分均高于对照组,MDA、AOPP水平及NIHSS评分均低于对照组,差异有统计学意义(P<0.05).结论:高压氧联合康复训练用于aSAH患者效果确切,可减轻氧化应激反应,降低神经功能缺损程度,提高患者生活自理能力,改善预后,效果优于单纯康复训练.
Effects of hyperbaric oxygen combined with rehabilitation training on postoperative recovery of patients with aneurysmal subarachnoid hemorrhage
Objective:To investigate effects of hyperbaric oxygen combined with rehabilitation training on postoperative recovery of patients with aneurysmal subarachnoid hemorrhage(aSAH).Methods:A prospective study was conducted on 80 patients with aSAH admitted to this hospital from September 2019 to September 2022.According to the random number table method,they were divided into observation group and control group,40 cases in each group.The control group received routine rehabilitation training,while the observation group received the hyperbaric oxygen therapy on the basis of that of the control group.The levels of oxidative stress indexes[superoxide dismutase(SOD),total antioxidant capacity(T-AOC),advanced oxidation protein product(AOPP),malondialdehyde(MDA)],the National Institutes of Health stroke scale(NIHSS)score,the Barthel index(BI)score,and the Glasgow outcome scale(GOS)score were compared between the two groups before and after the intervention.Results:After the intervention,the levels of serum SOD,T-AOC and BI,GOS scores in the observation group were higher than those in the control group,the levels of MDA,AOPP and NIHSS scores were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Hyperbaric oxygen combined with rehabilitation training is effective in the patients with aSAH,which can inhibit the oxidative stress,reduce the degree of neurological deficit,improve the self-care ability and improve the prognosis.Moreover,it is superior to single rehabilitation training.

AneurysmsSubarachnoid hemorrhageHyperbaric oxygenRehabilitation trainingNeurological functionActivity of daily living

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九江市第一人民医院神经外科,江西 九江 332000

动脉瘤 蛛网膜下腔出血 高压氧 康复训练 神经功能 日常生活活动能力

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(12)
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