CÁC YẾU TỐ LIÊN QUAN ĐẾN PHỤC HỒI CHỨC NĂNG THẦN KINH TRÊN BỆNH NHÂN ĐỘT QUỴ NHỒI MÁU NÃO BẰNG LIỆU PHÁP OXY CAO ÁP

Abstract

Objectives: To study the factors related to the outcome of neurological rehabilitation for patients with ischemic stroke by hyperbaric oxygen therapy. Patients and methodology: controlled intervention study on 51 patients, divided in two intervention groups and control group being treated at Hanoi Rehabilitation Hospital from July, 2020 to September, 2021. The patient received rehabilitation cognitive exercises during 1 month at the hospital. Evaluation after 1 month treatment. Results: The common age is 60 - 69, accounting for 39,2%, the mean age is 63,1. The male/female ratio is 2,92. Most of the patients' occupations are manual workers with 64.7%, the rest are mental workers. The level of independence in daily living according to the Barthel scale improved from 9 patients who were completely dependent (36%) at admission to 0 patients (0%) in the intervention group and 6 patients (23,1%) at admission decreased to 2 patient (7,7%) in the control group. The proportion of independent patients from 0 patients (0%) at admission increased to 7 independent patients (28%) and 4 completely independent patients (16%) in the intervention group. intervention and 0 independent patients (0%) at admission increased to 5 patients (19,2%) in the control group (p<0.05). There is an association with the results of neurological rehabilitation with the time before and after 1 month of intervention (p < 0.05). However, there is no difference between age and occupation (p > 0.05). Conclusion: There is a positive improvement in the group of patients who are receiving hyperbaric oxygen therapy in patients with ischemic stroke. Hospital admission time is related to patient recovery outcomes. However, there is no difference between age and occupation.