《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (09): 758-758.

• 临床研究 • 上一篇    下一篇

早期高压氧治疗对脊髓损伤患者功能恢复的影响

郭根平; 张谦; 杨玲玲   

  1. 杭州市江干区人民医院康复医学科 浙江杭州市 310016
  • 收稿日期:2005-05-09 出版日期:2005-09-25 发布日期:2005-09-25

Effects of early hyperbaric oxygen therapy on function recovery in spinal cord injury patients

GUO Gen-ping, ZHANG Qian, YANG Ling-ling   

  1. Department of Rehabilitation Medicine, People's Hospital of Jianggan District, Hangzhou 310016, Zhejiang, China
  • Received:2005-05-09 Published:2005-09-25 Online:2005-09-25

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被引次数

39

摘要： 目的探讨早期与晚期高压氧治疗对脊髓损伤患者功能恢复的影响。方法选择216例脊髓损伤患者,其中早期组与晚期组各108例。早期组在患者术后生命体征平稳3～14 d开始治疗;晚期组在术后15～30 d开始治疗。采用ASIA残损量表及改良巴氏指数(MBI)进行康复评价。结果两组入选时差异无显著性(P>0.05),治疗60 d后,两组均较治疗前明显改善(P<0.01),早期治疗组较晚期治疗组改善程度更大(P<0.05)。结论早期与晚期高压氧治疗均可明显促使功能恢复,但早期介入治疗的临床疗效明显优于晚期介入治疗。

关键词: 脊髓损伤, 高压氧, 康复

Abstract: ObjectiveTo investigate the effect of early hyperbaric oxygen therapy on function recovery in spinal cord injury(SCI)patients.Methods216 SCI patients were randomly divided into early hyperbaric oxygen therapy group(E, 108 cases)and late hyperbaric oxygen therapy group(L, 108 cases).The patients in both groups received the similar rehabilitation and medicine treatment. The effects were assessd by the American Spine Injury Association(ASIA)and modified Barthel index(MBI).ResultsThere was no difference between two groups before treatment, and the scores improved significantly after treatment, but the scores of the group E was significantly higher than that of the group L. ConclusionHyperbaric oxygen therapy can facilitate the function recovery, and it is better to interfere early.

Key words: spinal cord injury (SCI), hyperbaric oxygen therapy, rehabilitation