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高压氧治疗对老年脑梗塞患者神经心理障碍改善作用的评价

张华 高萍 贾志荣

  【摘 要】 目的:探讨高压氧治疗对老年脑梗塞患者神经心理障碍的改善作用。方法:采用Folstein简易精神状态检查法(MMSE),修订韦氏成人智力量表(WAIS-RC)和临床记忆量表,对一组老年脑梗塞患者用高压氧治疗前后进行测试。结果:研究表明:(1)老年脑梗塞患者神经心理障碍常规药物治疗效果差,高压氧治疗可使其智能成绩明显提高;(2)合并高血压(>5年)、糖尿病、高脂血症、脑萎缩以及脑梗塞发病次数≥2次者,其神经心理障碍更为显著。结论:老年脑梗塞患者神经心理障碍较严重,合并症愈多尤甚;采用高压氧治疗有效,可做为改善老年脑梗塞患者神经心理障碍的治疗措施,值得在临床工作中推广应用。
  【关键词】 神经心理障碍 老年性 脑梗塞 高压氧 疗效评析

The Evaluation of Hyperbaric Oxygen Therapy on Neuropsychological Impairments in Senile Cerebral Infarction Patients

Zhang Hua, Gao ping, Jia Zhirong
  The People s Hospital of Ningixia Hui Nationality Self-government District 750021

【Abstract】Objective: To explore the efficacy of hyperbaric oxygen therapy (HBO) for the treatment of neuropsychological impairments in senile cerebral infarction patients. Methods: A total of 86 senile cerebral infarction patients were divided into two groups, one receiving hyperbaric oxygen therapy plus routine medicine treatment and the other medicine treatment only. Both were assessed with MMSE, WAIS-RC and Clinical Memory Scale. Results: (1) Routine medicine treatment presented poor efficacy for neuropsychological impairments of senile cerebral infarction patients, and hyperbaric oxygen therapy improved their intellectual achievements significantly; (2) The neuropsychological impairments were prominent in those combined with hypertension (duration>5 years), diabetes, hyperlipaemia, cerebral atrophy and cerebral infarction attack more than twice. Conclusions: The neuropsychological impairments in senile cerebral infarction patients are severe especially in those with many complications. Hyperbaric oxygen therapy is efficacious for these impairments and deserves to be generalized.
【Key words】neuropsychological impairment senile cerebral infarction hyperbaric oxygen efficacy evaluation

  随着人口老龄化进程的加快,老年人脑血管病的患病率逐年增多,老年脑梗塞患者的神经心理障碍问题显得日益突出。为探讨高压氧治疗老年脑梗塞患者神经心理障碍的有效性,我们采用Folstein简易精神状态检查法(MMSE)、修订韦氏成人智力量表(W

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