摘要
目的 探讨高压氧康复技术结合节奏性听觉刺激对创伤性脑损伤(TBI)患者的康复效果.方法 选取2021年1月—2022年12月本院收治的70例TBI患者为研究对象,按随机数字表法分为对照组和观察组,每组35例.两组患者均于病情稳定后接受常规康复训练,对照组采用节奏性听觉刺激干预,观察组在对照组基础上加用高压氧康复干预,两组均干预4周.比较两组的简式Fugl-Meyer量表(FMA)评分、Berg平衡量表(BBS)评分、起立-行走计时测试(TUGT)、上肢协调评分、下肢平衡能力、洛文斯顿作业疗法认知成套测试(LOTCA)评分、改良Barthel指数(MBI)评分.结果 干预前,两组的FMA评分、BBS评分、TUGT、上肢协调评分、下肢时间对称性、LOTCA评分、MBI评分比较,组间差异无统计学意义(P>0.05);干预后,观察组的FMA评分、BBS评分、上肢协调评分、LOTCA评分、MBI评分均高于对照组,TUGT短于对照组,下肢时间对称性低于对照组,组间差异有统计学意义(P<0.05).结论 高压氧康复技术结合节奏性听觉刺激应用于TBI中能促进患者肢体运动能力及协调平衡能力的恢复,提高认知功能、生活质量恢复效果,值得推广应用.
Abstract
Objective To investigate the effect of hyperbaric oxygen rehabilitation technique combined with rhythmic auditory stimulation on the rehabilitation of patients with traumatic brain injury (TBI).Methods A total of 70 TBI patients admitted to our hospital from January 2021 to December 2022 were selected as the research objects and were divided into a control group and an observation group according to random number table method, with 35 cases in each group.Patients in both groups received routine rehabilitation training after their condition was stable, the control group received rhythmic auditory stimulation intervention, and the observation group received hyperbaric oxygen rehabilitation intervention on the basis of the control group, and both groups were intervened for 4 weeks.The Fugl-Meyer scale (FMA) score, Berg balance scale (BBS) score, time"up and go"test (TUGT), upper limb coordination score, lower limb balance, Loewinston operational therapy cognitive assessment (LOTCA) score, and modified Barthel index (MBI) score were compared between the two groups.Results Before intervention, there were no significant differences in FMA score, BBS score, TUGT, upper limb coordination score, lower limb temporal symmetry, LOTCA score and MBI score between the two groups (P>0.05);after the intervention, the scores of FMA, BBS, upper limb coordination, LOTCA and MBI in the observation group were higher than those in the control group, TUGT was shorter than that in the control group, and the temporal symmetry of the lower limb was lower than that in the control group, the differences between the groups were statistically significance (P<0.05).Conclusion Hyperbaric oxygen rehabilitation combined with rhythmic auditory stimulation can promote the recovery of limb motor ability and coordination and balance ability of patients in TBI, and can improve the recovery effect of cognitive function and quality of life, which is worthy of popularization and application.
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