Observation Of The Efficacy Of Action Observation Therapy Combined With Hyperbaric Oxygen Therapy In The Treatment Of Aphasia Complicated With Cognitive Impairment After Stroke

Objective: Due to the need to comb the literature and experiments,this study used meta-analysis to explore and evaluate the clinical rehabilitation effect of hyperbaric oxygen therapy in patients with aphasia after craniocerebral injury.Based on the theoretical basis of meta-analysis,the clinical effects of motor observation therapy combined with hyperbaric oxygen therapy in the treatment of aphasia and cognitive impairment after stroke were investigated.Methods: 1.Computer search of CNKI,Wanfang Database,Weipu Database,The Cochrane library,Pub Med,Embase database,the search time limit is to January 2022,the experimental group uses conventional surgical treatment,conventional rehabilitation treatment,conventional drug treatment,the experimental group uses hyperbaric oxygen therapy randomized controlled experiment(RCT),and evaluate and extract data according to the standards.Meta-analysis was performed using Rev Man 5.4,a software provided by the Cochrane Collaboration Network.2.The experiment recruited 45 subjects in the Department of Neurology,Neurosurgery and Rehabilitation Medicine(Outpatient and Inpatient Department)of the Fourth Affiliated Hospital of Dali University in Yunnan Province,and 45 patients were randomly divided into action group(control group),hyperbaric oxygen group(experimental group 1),and action hyperbaric oxygen group(experimental group 2)for 3 weeks of rehabilitation treatment.15 people in the action group,30 minutes of regular training + 30 minutes of action observation therapy training every day,once a day,five times a week;15 people in the hyperbaric oxygen group,30 minutes of regular training + 105 minutes of hyperbaric oxygen therapy per day,once a day,five times a week;There were 15 people in the action hyperbaric oxygen group,and 30 minutes of routine training + 105 minutes of hyperbaric oxygen therapy + 30 minutes of action observation therapy training were performed once a day,five times a week.WAB aphasia function test and MMSE cognitive function test were performed before and after the experiment to reflect the treatment effect.Results:1.The meta-analysis included 15 studies with a total of 1541 patients.Metaanalysis showed that hyperbaric oxygen therapy was effective in improving the overall response rate of treatment in patients with aphasia with head injury [OR=6.54,95% CI(4.97,8.60),Z=13.45,P<0.000 01].In addition,when the outcome evaluation index was the efficacy grade of BDAE aphasia,the efficacy rate was significantly improved[OR=10.24,95% CI(6.52,16.10),Z=10.08,P<0.000 01],and the efficacy rate when the outcome evaluation index was ordinary clinical efficacy grade was better [OR=6.00,95%CI(3.97,9.05),Z=8.53,P<0.000 01].2.(1)In the WAB scores of the three groups after the end of the 3-week experiment: the AQ value,information amount and fluency items of the hyperbaric oxygen group were significantly higher than those in the action group,and the difference was statistically significant(P<0.05);the AQ value,information and fluency terms of the patients in the action hyperbaric oxygen group were significantly higher than those in the action group,and the difference was statistically significant(P<0.05);the scores of the understanding terms in the action hyperbaric oxygen group were significantly higher than those in the action group and the hyperbaric oxygen group,and the difference was statistically significant(P<0.05).(2)In the MMSE score of the three groups after the end of the 3-week experiment,the scores of the patients in the action hyperbaric oxygen group were significantly higher than those in the action group,and the difference was statistically significant(P<0.05).(3)Compared with the WAB scores before the experiment after the end of the experiment,the scores of the information and fluency items in the action group were not significantly improved compared with those before the experiment,and the difference was not statistically significant(P>0.05),but the AQ value,understanding,restatement,and named item scores were all higher than before the experiment,and the difference was statistically significant(P<0.05);the AQ value,information amount,fluency,understanding,retelling,and naming terms scores in the hyperbaric oxygen group were improved compared with the pre-experiment.The difference was statistically significant(P<0.05),and the AQ value,information amount,fluency,comprehension,retelling,and named terms scores in the action hyperbaric oxygen group were significantly higher than before the experiment(P<0.05).(4)Compared with their pre-experimental MMSE scores after the end of the experiment,the scores of the three groups were significantly higher than before the experiment,and the difference was statistically significant(P<0.05).Conclusions: 1.Through meta-analysis,it is concluded that the clinical rehabilitation effect of hyperbaric oxygen therapy for aphasia patients after craniocerebral injury is better,and the total effective rate is significantly improved,which lays a theoretical foundation for the subsequent experimental research in this paper.2.The experimental use of three schemes can improve aphasia and cognitive impairment after stroke to a certain extent,but the use of action observation therapy combined with hyperbaric oxygen to treat patients with aphasia and cognitive impairment after stroke is better.