右正中神经电刺激联合高压氧对术后重型颅脑外伤患者的疗效及生存质量和运动能力的影响

Effect of Right Median Nerve Stimulation Combined with Hyperbaric Oxygen on the Efficacy Quality of Life and Exercise Capacity of Patients with Postoperative Severe Craniocerebral Trauma

目的:研究右正中神经电刺激联合高压氧对术后重型颅脑外伤患者的疗效及生存质量和运动能力的影响。方法:选取2016年9月-2018年9月于本院进行治疗重型颅脑外伤的60例患者,按非随机同期病例对照的原则分为试验组和对照组,每组30例。对照组给予高压氧等常规治疗,试验组在对照组治疗的基础上给予右正中神经电刺激治疗。对比两组治疗后3个月的清醒率、生存质量、格拉斯哥昏迷评分量表(GCS)、格拉斯哥预后量表(GOS)、功能障碍评分(DRS)及不良反应。结果:试验组清醒率高于对照组(P<0.05);两组治疗后生存质量、GCS、GOS评分均高于治疗前,且试验组均高于对照组(P<0.05);两组治疗后DRS评分低于治疗前,且试验组DRS评分低于对照组(P<0.05);试验组不良反应发生率低于对照组(P<0.05)。结论:右正中神经电刺激联合高压氧治疗术后重型颅脑外伤患者能有效改善患者症状,提高生活质量,改善功能,促进患者苏醒。

Objective:To study the effect of right median nerve stimulation combined with hyperbaric oxygen on the efficacy,quality of life and exercise capacity of patients with postoperative severe craniocerebral trauma.Method:60 patients with severe craniocerebral trauma treated in our hospital from September 2016 to September 2018 were selected.They were divided into experimental group and control group according to the principle of non-randomized case-control,30 cases in each group.The control group was given routine treatment,and the experimental group was given the right median nerve stimulation treatment on the basis of the control group.The awake rate,quality of life,Glasgow coma scale(GCS),Glasgow outcome scale(GOS),dysfunction score(DRS)and adverse events were compared between the two groups at 3 months after treatment.Result:The awake rate of the experimental group was higher than that of the control group(P<0.05).The quality of life,GCS and GOS scores of the two groups after treatment were higher than those before treatment,the experimental group of those were higher than those of the control group(P<0.05).The DRS scores of the two groups after treatment were lower than those before treatment,the DRS scores of the experimental group was lower than that of the control group(P<0.05).The incidence of adverse reactions in the the experimental group was lower than that in the control group(P<0.05).Conclusion:Right median nerve electrical stimulation combined with hyperbaric oxygen therapy for patients with postoperativesevere craniocerebral trauma can effectively improve the patient’s symptoms,the quality of life,the function,and promote the patient’s recovery.