| Objective:For the purpose by the combined with rehabilitation and hyperbaric oxygen brain during the treatment of infarction the clinical effect of study for a better way to treat brain of infarction, and to alleviate the suffering and improve the quality of life.Method:1 in october to november 2009 in hebei medical university hospital in acupuncture, and the number of section Shijiazhuang City centre hospital for medical hyperbaric oxygen nerve center, shijiazhuang international peace hospital to hospital patients to recover the medical science and medicine for example, a diagnosis of the brain of infarction. all patients randomly divided into three groups. the treatment of a combination of the head during the recovery (hyperbaric oxygen) and 50, combined with control group b ( head during the recovery ) fifty, c ( the head of the union hyperbaric oxygen )50 cases, Each group age, sex, duration, personal and family history and no complications and significant gender difference ( p > 0.05 ) with comparable.2 all patients received routine treatment of drug, A group was given scalp acupuncture combined with rehabilitation and hyperbaric oxygen treatment position, B position group received scalp acupuncture combined with rehabilitation therapy, C group received scalp acupuncture combined with hyperbaric oxygen therapy. A, B, C are three points scalp election a "scalp acupuncture points of Chinese international standardization program" to take the top contralateral temporal forward slash, slash after the contralateral temporal roof, Baihui, bilateral Fengchi . A, B patients were admitted to hospital bed to keep consistent with the guidance of their theory of rehabilitation of the rehabilitation of posture in normal mode display, the use of the supine position, the affected side lying, supine and sitting body position unaffected. A, C two groups of patients after treatment in the scalp into the hyperbaric oxygen chamber therapy. These three groups were treated once daily, 10 times as a course of treatment, continuous treatment of 2 courses, 2 days rest between treatments.3 observed three groups of patients before and after treatment, a course of treatment, 2 courses of nerve function impairment points (Chinese Stroke Scale) and changes in activities of daily living score, superoxide dismutase (SOD) activity and content changes and the overall therapeutic efficacy.Results: 1 change in neurological deficit scoresThe statistical analysis shows that the three groups before treatment, no significant difference (P> 0.05). And treatment 10 days before treatment, after 20 days treatment of neurological function compared with significantly decreased, with significant differences (P <0.05). Between the two groups showed that for 10 days, 20 days after the A group scores were significantly lower with the B, C groups, there was significant difference (P <0.05), group B 20 days after treatment was significantly lower than C group scores, there significant difference (P <0.05). Description of three treatment programs for patients with neurological deficit reduction is valid. Scalp acupuncture combined with rehabilitation and hyperbaric oxygen treatment position to improve the best of neurologic impairment; scalp acupuncture scalp acupuncture combined with rehabilitation position with hyperbaric oxygen therapy is better than treatment2 activities of daily living score changesThe statistical analysis shows that the three groups before treatment, no significant difference (P> 0.05). And treatment 10 days before treatment, after 20 days treatment compared to activities of daily living scores were significantly increased, with significant differences (P <0.05). Between the two groups showed that for 10 days, 20 days after the scores were significantly higher than that of A group and B, C groups, there was significant difference (P <0.01), B group score higher than the C group, there was significant difference (P <0.05). Description of three treatment programs for improving patient activities of daily living are valid. Scalp acupuncture combined with rehabilitation and hyperbaric oxygen treatment position best; scalp acupuncture scalp acupuncture combined with rehabilitation position with hyperbaric oxygen therapy is better than treatment.3 before and after treatment of serum superoxide dismutase (SOD) activity and content changesThe statistical analysis shows that the three groups before treatment, no significant difference (P> 0.05). And treatment 10 days before treatment, after 20 days treatment compared to SOD activity and serum levels were significantly increased Significant difference (P <0.05). Between the two groups showed that for 10 days, 20 days after the A serum SOD activity and were significantly higher than with B, C groups, there was significant difference (P <0.05), C group scores higher than the B group, there were significant differences (P <0.05). Description of three treatment programs for improving the serum SOD activity and content are valid. Scalp acupuncture combined with rehabilitation and hyperbaric oxygen treatment position best; scalp acupuncture scalp acupuncture combined with hyperbaric oxygen therapy combined with rehabilitation position is better than treatment.4 Comparison of clinical efficacyThe statistical analysis shows that the three patients have achieved the exact effect after treatment, A group (scalp acupuncture combined with rehabilitation and hyperbaric oxygen position) effect of the best (92.6%), B group (scalp acupuncture combined with rehabilitation position) (85.7%), better than the C group (scalp acupuncture combined with hyperbaric oxygen) (78.3%), the statistical analysis, there was significant difference (P <0.05). Note that combination therapy of three to scalp acupuncture combined with rehabilitation in the position and the hyperbaric oxygen group, the best combination therapy treatment, scalp acupuncture combined with scalp acupuncture combined with rehabilitation than asana hyperbaric oxygen method. 5 Safety observationsIn clinical trials, the treatment group and control group patients were normal. Before and after treatment for blood, urine, then routine, liver function, kidney function, ECG, chest X-ray and other tests, no abnormal changes.Conclusion: 1 through neurological function, activities of daily living score and serum levels of superoxide dismutase (SOD) activity and content of the comprehensive analysis and comparison of clinical proof of efficacy, scalp acupuncture combined with rehabilitation position and hyperbaric oxygen treatment for 20 days infarction within the best, better than the control group scalp acupuncture and scalp acupuncture combined with rehabilitation asana with hyperbaric oxygen method.2 acupuncture combined with rehabilitation and hyperbaric oxygen treatment of cerebral infarction anthropometric methods, give full play to advantages of integrative medicine in the treatment of security, reduce disability, reduce the long-term bed rest due to cerebral infarction caused by complications, increase patient quality of life.3 introduced the concept of modern rehabilitation medicine, functional evaluation. Early intervention in cerebral infarction scalp, and hyperbaric oxygen, rehabilitation and position placed to explore for the treatment of cerebral infarction, a new effective treatment options.
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