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目的探讨早期高压氧治疗对急性脑梗死患者的疗效及对神经功能的影响。方法选取我院2010年3月~2012年9月收治的100例急性脑梗死患者,将其随机分为观察组和对照组,各50例,对照组采用常规治疗,观察组在常规治疗的基础上,给予高压氧治疗,观察两组患者治疗后神经功能恢复情况、心理状态及生活质量。结果观察组患者治疗后NIHSS评分为(7.1±2.3)分,对照组治疗后NIHSS评分为(11.9±4.7)分,两组患者治疗后NIHSS评分比较,差异有统计学意义(P<0.05)。观察组的躯体化(1.2±0.3)分、抑郁(1.1±0.3)分、焦虑(1.1±0.4)分、人际关系敏感(1.1±0.3)分、精神病性评分(1.2±0.3)分、强迫症状(1.1±0.3)分,敌对(1.1±0.2)分,恐惧(1.2±0.3)分,偏执(1.1±0.3)分,对照组的躯体化(1.8±0.6)分、抑郁(1.9±0.4)分、焦虑(1.9±0.4)分、人际关系敏感(1.9±0.8)分、精神病性评分(1.8±0.4)分、强迫症状(1.8±0.3)分,敌对(1.9±0.3)分,恐惧(1.8±0.3)分,偏执(1.8±0.3)分,观察组心理状态各维度评分明显低于对照组,差异有统计学意义(P<0.05)。观察组患者生活质量明显高于对照组,差异有统计学意义(P<0.05)。结论高压氧治疗脑梗死,可改善患者神经功能缺损,改善患者的心理状态和生活质量,值得应用。
Objective To investigate the effect of early hyperbaric oxygen therapy on neurological function in patients with acute cerebral infarction. Methods A total of 100 patients with acute cerebral infarction who were treated in our hospital from March 2010 to September 2012 were randomly divided into observation group and control group, 50 cases in each group. The control group was treated by conventional therapy. The observation group was treated on the basis of routine treatment , Given hyperbaric oxygen therapy, observation of two groups of patients after treatment of neurological recovery, psychological status and quality of life. Results The NIHSS score of the observation group was (7.1 ± 2.3) after treatment and that of the control group was (11.9 ± 4.7) after treatment. The NIHSS scores of the two groups were statistically significant (P <0.05). The scores of somatization (1.2 ± 0.3), depression (1.1 ± 0.3), anxiety (1.1 ± 0.4), interpersonal sensitivity (1.1 ± 0.3), psychotic score (1.2 ± 0.3), and obsessive compulsive symptoms 1.1 ± 0.3, 1.1 ± 0.2, 1.1 ± 0.2, 1.1 ± 0.2, 1.1 ± 0.3, 1.1 ± 0.3, 1.1 ± 0.3, 1.1 ± 0.3, 1.1 ± 0.3, 1.1 ± 0.3, , Anxiety (1.9 ± 0.4), interpersonal sensitivity (1.9 ± 0.8), psychotic score (1.8 ± 0.4), obsessive compulsive symptom (1.8 ± 0.3) 0.3) and paranoid (1.8 ± 0.3). The score of each dimension in the observation group was significantly lower than that in the control group (P <0.05). The quality of life of the observation group was significantly higher than that of the control group, the difference was statistically significant (P <0.05). Conclusion Hyperbaric oxygen treatment of cerebral infarction can improve neurological deficits and improve the patient’s psychological status and quality of life, it is worth applying.