高压氧联合针刺治疗脑梗死的疗效及对患者运动和认知功能的影响

Efficacy of Hyperbaric Oxygen Combined with Acupuncture in the Treatment of Cerebral Infarction and Its Impact on Motor and Cognitive Function in Patients

摘要: 目的：研究高压氧联合针刺治疗脑梗死的疗效。方法：随机选取2022年11月到2024年03月在本院接受治疗的急性缺血性脑卒中患者200例，将其随机抽选为对照组、针刺组、高压氧组和针刺 + 高压氧组各50例，对照组实施常规治疗，针刺组在对照组的基础上增加针刺治疗，高压氧组在对照组的基础上增加高压氧治疗，针刺 + 高压氧组在对照组的基础上增加高压氧联合针刺治疗，对比四组的中风病类评分、神经功能、肢体运动功能、认知功能和不良反应发生率。结果：治疗前，四组的中风病类评分、神经功能、肢体运动功能和认知功能差异无统计学意义(P > 0.05)；治疗4周后，针刺 + 高压氧组的中风症状明显好转于其他三组，针刺 + 高压氧组的神经功能优于其他三组，针刺 + 高压氧组的肢体运动功能比其他三组更正常，针刺 + 高压氧组的认知功能好于其他三组，针刺 + 高压氧组的不良反应发生率远远低于其他三组，其差异均具有统计学意义(P < 0.05)。结论：对脑梗死患者实施高压氧联合针刺治疗，能够有效地改善患者的临床症状，促进神经功能的好转，提高患者的肢体运动功能和认知功能，不良反应发生率低，安全性高，治疗效果好。

Abstract: Objective: To investigate the efficacy of hyperbaric oxygen combined with acupuncture in the treatment of cerebral infarction. Methods: A total of 200 patients with acute ischemic stroke who received treatment in our hospital from November 2022 to March 2024 were randomly selected and divided into four groups: control group, acupuncture group, hyperbaric oxygen group, and acupuncture + hyperbaric oxygen group, with 50 patients in each group. The control group received conventional treatment, the acupuncture group received acupuncture treatment in addition to the control group’s treatment, the hyperbaric oxygen group received hyperbaric oxygen treatment in addition to the control group’s treatment, and the acupuncture + hyperbaric oxygen group received both hyperbaric oxygen and acupuncture treatment in addition to the control group’s treatment. The stroke classification scores, neurological function, motor function, cognitive function, and incidence of adverse reactions were compared among the four groups. Results: Before treatment, there were no statistically significant differences in stroke classification scores, neurological function, motor function, and cognitive function among the four groups (P > 0.05). After 4 weeks of treatment, the acupuncture + hyperbaric oxygen group showed significant improvement in stroke symptoms compared to the other three groups. The neurological function of the acupuncture + hyperbaric oxygen group was better than that of the other three groups. The motor function of the acupuncture + hyperbaric oxygen group was more normal than that of the other three groups. The cognitive function of the acupuncture + hyperbaric oxygen group was superior to that of the other three groups. The incidence of adverse reactions in the acupuncture + hyperbaric oxygen group was much lower than that in the other three groups, and the differences were statistically significant (P < 0.05). Conclusion: The implementation of hyperbaric oxygen combined with acupuncture treatment for patients with cerebral infarction can effectively improve their clinical symptoms, promote the improvement of neurological function, enhance their motor and cognitive functions, and have a low incidence of adverse reactions, high safety, and good treatment effects.