早期康復(fù)治療結(jié)合高壓氧對(duì)尺神經(jīng)損傷顯微修復(fù)術(shù)后的療效分析

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1、早期康復(fù)治療結(jié)合高壓氧對(duì)尺神經(jīng)損傷顯微修復(fù)術(shù)后的療效分析早期康復(fù)治療結(jié)合高壓氧對(duì)尺神經(jīng)損傷顯微修復(fù)術(shù)后的療效分析早期康復(fù)治療結(jié)合高壓氧對(duì)尺神經(jīng)損傷顯微修復(fù)術(shù)后的療效分析早期康復(fù)治療結(jié)合高壓氧對(duì)尺神經(jīng)損傷顯微修復(fù)術(shù)后的療效分析早期康復(fù)治療結(jié)合高壓氧對(duì)尺神經(jīng)損傷顯微修復(fù)術(shù)后的療效分析早期康復(fù)治療結(jié)合高壓氧對(duì)尺神經(jīng)損傷顯微修復(fù)術(shù)后的療效分析早期康復(fù)治療結(jié)合高壓氧對(duì)尺神經(jīng)損傷顯微修復(fù)術(shù)后的療效分析第30卷第4期2009皋青海醫(yī)學(xué)日博.子JOURNALOFQINGHAI院MEDICALCOLLEGEVo1.30No.42o09早期康復(fù)治療結(jié)合高壓氧對(duì)尺神經(jīng)損傷顯微

2、修復(fù)術(shù)后的療效分析劉景月羅紅梅(四川省資陽市人民醫(yī)院)摘要目的探討應(yīng)用早期康復(fù)結(jié)合高壓氧對(duì)尺神經(jīng)損傷顯微修復(fù)術(shù)后的療效.方法選取尺神經(jīng)完全損傷經(jīng)顯微修復(fù)術(shù)后的患者68例,等量隨機(jī)分為治療組,對(duì)照組各34例.對(duì)照組采用常規(guī)藥物和系統(tǒng)康復(fù)治療;治療組在常規(guī)藥物和系統(tǒng)康復(fù)治療基礎(chǔ)上采用高壓氧治療,并在治療前及治療后第3,6,12個(gè)月時(shí)分別做手功能評(píng)定及神經(jīng)傳導(dǎo)速度和肌電圖檢查.結(jié)果治療后3,6,12個(gè)月時(shí)手功能評(píng)定及神經(jīng)傳導(dǎo)速度和肌電圖檢查結(jié)果顯示,治療組療效優(yōu)于對(duì)照組,差異有顯著性(P均小于0.05).結(jié)論早期系統(tǒng)康復(fù)治療結(jié)合高壓氧是尺神經(jīng)損傷顯微術(shù)后患者恢

3、復(fù)功能的有效治療措施.關(guān)鍵詞尺神經(jīng)損傷術(shù)后康復(fù)高壓氧中圖分類號(hào)R683.41文獻(xiàn)標(biāo)識(shí)碼ATHERAPEUYICEFFECTSANALYSISOFEARLYREHABILTTAYIoNCOMBINEDWITHHYPERBARIC—oXYGENONULNARNEVERINJURYAFTERMICROSURGICALREPAIRLiuJingyue,LuoHongmei(ZiYangpeople’SHospital,SichuanProvince)AbstractObjectiveTostudythetherapeuticeffectsofearlyrehab

4、ilitationcombinedwithHyperbaric——oxy.genonulnarnerveinjuryaftermicrosurgicalrepair.MethodsSixty—eightpatientswithulnarnerveinjuryaftermi—crosurgicalrepairwereinvolvedinthisstudy.Allpatientswererandomlydividedintoatreatmentgroupandacon.trolgroup.Bothoftwogroupsweretreatedwithgener

5、almedicaltreatmentandearlypostoperativerehabilitation.Moreover,treatmentgroupwastreatedwithhyperbaric—oxygen.AllpatientswereassessedwithEMGandhandfunctionevaluationbeforetreatmentandthreemonths,sixmonths,oneyearaftertreatmentrespective1v.ResultsTheimprovingextentofallscore$(EMG,b

6、andfunctionevaluation)intreatmentgroupweresigni~cantlydifferentwiththatincontrolgroup(P<0.05).ConclusionEarlypostoperativerehabilitationcombinedwithHyperbaric—oxygenisaneffectivetreatmentforulnarnerveinjurypatientsaftermicrosurgicalrepair.KeywordsLnjuryofulnarnerveHyperbaric——

7、oxygenPostoperativerehabilitation如何促進(jìn)神經(jīng)再生,延緩肌萎縮,降低手功能障礙程度成為目前尺神經(jīng)損傷后臨床治療的難點(diǎn)之270劉景月(1970～),男,漢族,四川籍,主治醫(yī)師一.自2003年以來,筆者對(duì)尺神經(jīng)完全損傷并經(jīng)顯微手術(shù)修復(fù)的患者實(shí)施早期系統(tǒng)康復(fù)和高壓氧治療,并進(jìn)行臨床觀察,現(xiàn)將有關(guān)結(jié)果報(bào)告如下.1資料與方法1.1臨床資料選自2003年至2008年我科所收治由創(chuàng)傷所致尺神經(jīng)完全損傷經(jīng)顯微手術(shù)修復(fù)的患者68例:男48例,女20例;年齡21～52歲,平均39.6歲;病程18—40h.治療前肌電圖檢查顯示尺神經(jīng)傳導(dǎo)速度未引

8、出,體格檢查示受損神經(jīng)支配區(qū)感覺減退,消失或感覺過敏,肌力0級(jí),肌張力降低,將所