高壓氧對腦中風病患之療效評估

The Evaluation of Hyperbaric Oxygen Therapy in the Treatment of Stroke Patients

10.30027/CJOM.200607.0005

張陸澎(Lu-Peng Chang)；李長光(Chang-Kuang Lee)；黃耀興(Yao-Hsing Huang)

腦中風 ； 腦梗塞 ； 高壓氣治療 ； stroke ； brain infarction ； hyperbaric oxygen

中華職業醫學雜誌

13卷3期（2006 / 07 / 25）

181 - 186

繁體中文

本研究之目的，在於評估高壓氣治療能否有效改善腦中風病患之神經功能障礙。收集國軍左營醫院門診和住院病人中，願意自費接受高壓氣治療（健保不給付）之腦中風病患，本研究共計23例。讓每位病患接受每日2-2.5大氣壓1-2小時的高壓氣氣治療，約計15-60次，直到病情連續兩週不再進步為止。23位中風患者，接受高壓氣治療，統計結果如下：(l)年齡：25-81歲，平均61.4±14.8(SD)歲。(2)性別：男：女＝17:6。(3)腦中風型態：栓塞型21位，佔91.3%，出血型2位，佔8.7%(4)罹患腦中風時間介於半個月至48個月，平均：11.5±2.7(SD)個月。(5)高壓氣治療次數：少於10次7位（佔30.4%),10-30次14位（佔60.9%）,30次以上2位（佔8.7%）。平均治療次數17.4±14.6(SD)次(6)神經理學檢查：運動功能障礙計23位，佔100%；視覺障礙有1位，佔43%；語言障礙有14位，佔60.9%；記憶力障礙有1位，佔4.3%。(7)治療效果：在運動功能障礙中無效有10位，佔43.5%；有效9位，佔39.1%；顯效4位，佔17.4%。在視覺障礙方面，無效有1位，佔100%。在語言障礙方面，無效有8位，佔57.1%；有效5位，佔35.7%；顯效1位，佔7.1%。在記憶力障礙方面，有效1位，佔100％。(8)治療次數與療效：接受高壓氣治療超過20次的患者，有效可達80%以上(9)結論：本研究發現治療次數二十次以上，有效率可達80%以上，若病情持續改善者，建議增加療程。

This study was aimed to evaluate that hyperbaric oxygen (HBO) could improve neurological function in stroke patients. 23 stroke patients were collected to receive 2-2.5 ATA, 1-2 hour HBO therapy daily, for totally 15-60times. The consequent statistical results were as follows: (1) Age: 25-81 yrs, mean 61.4±14.8(SD) yrs; (2) Sex: male: female=17:6 (3) Stroke pattern: thrombotic type 91.3%, hemorrhagic type 8.7% (4) Stroke time: half month-40 months, mean 11.5±12.7(SD) months; (5) HBO: less than 10 times 30.4%, 10-30 times 60.9%, more than 30 times 8.7%, mean 17.4±14.6(SD) (6) Neurological test: motor function impairment 100%, vision acuity impairment 4.3%, speech ability impairment 60.9%, memory impairment 4.3% (7) Result: In motor function impairment patients: useless 43.5%, useful 39.1%, absolute useful 17.4% In vision acuity impairment: useless 100%; In speech ability impairment patients: useless 57.1%, useful 35.7%, absolute useful 7.1%, In memory impairment patients: useful 100%; (8) In conclusion, the stroke patients are older, more thrombotic type. Their sequela are more motor function impairment, people who received HBO (Sofeets/l2omins) over than 20 times were much more effctive.