高压氧联合核心稳定性训练在颅脑损伤后下肢功能障碍中的应用效果

目的　探究高压氧联合核心稳定性训练在颅脑损伤后下肢功能障碍中的应用效果。方法　前瞻性选取威海市中心医院2020年1月至2022年1月收治的94例颅脑损伤患者作为研究对象，按照随机数字表法将其分为研究组及对照组。对照组女22例，男25例，年龄（60.02±8.52）岁；研究组男26例，女21例，年龄（61.02±8.68）岁。对照组47例予以常规核心稳定性训练，研究组47例在对照组基础上施以高压氧。比较2组患者干预1个月后的肢体功能Fugl-Meyer运动功能评定量表（FMAS）评分、简易精神状态检查量表（MMSE）评分、不良事件发生率。采用t检验、χ²检验。结果　2组患者训练前FMAS评分差异无统计学意义（t=1.530，P=0.128），训练后2组FMAS评分高于训练前（均P<0.05），且研究组FMAS评分高于对照组［（28.36±4.82）分比（24.96±3.52）分］（t=4.522，P=0.001）。2组患者训练前MMSE评分差异无统计学意义（t=1.204，P=0.232），训练后2组MMSE评分高于训练前（均P<0.05），且研究组MMSE评分高于对照组［（24.25±2.85）分比（19.56±2.56）分］（t=8.393，P<0.001）。研究组不良事件发生率低于对照组［6.38%（3/47）比23.40%（11/47）］（χ²=5.371，P=0.020）。结论　高压氧联合核心稳定性训练应用在颅脑损伤后下肢功能障碍患者中，有利于患者下肢功能恢复，改善精神状态，降低患者的不良事件发生率，值得推广应用。

Effect of hyperbaric oxygenation combined with core stability training on lower limb dysfunction after craniocerebral injury

Objective　To explore the effect of hyperbaric oxygenation combined with core stability training on lower limb dysfunction after craniocerebral injury. Methods　A total of 94 patients with craniocerebral injury admitted to Weihai Central Hospital from January 2020 to January 2022 were prospectively selected as the study subjects. According to the random number table method, they were divided into a study group and a control group. In the control group, there were 22 females and 25 males, aged (60.02±8.52) years; in the study group, there were 26 males and 21 females, aged (61.02±8.68) years. The 47 patients in the control group were given routine core stability training, and the 47 patients in the study group were given hyperbaric oxygenation on the basis of the control group. The patients' limb function in the two groups were assessed by the Fugl-Meyer Motor Function Assessment Scale (FMAS), and the score of Mini-Mental State Examination (MMSE) and the incidence of adverse events after one month of intervention were compared between the two groups. t test and χ² test were used. Results　There was no statistically significant difference in the FMAS score between the two groups before training (t=1.530, P=0.128); the FMAS scores of the two groups after training were higher than those before training (both P<0.05), and the FMAS score of the study group was higher than that of the control group (28.36±4.82) points vs. (24.96±3.52) points] (t=4.522, P=0.001). There was no statistically significant difference in the MMSE score between the two groups before training (t=1.204, P=0.232); the MMSE score of the two groups after training were higher than those before training (both P<0.05), and the MMSE score of the study group was higher than that of the control group (24.25±2.85) points vs. (19.56±2.56) points] (t=8.393, P<0.001). The incidence of adverse events in the study group was lower than that in the control group 6.38% (3/47) vs. 23.40% (11/47)] (χ²=5.371, P=0.020). Conclusions　Hyperbaric oxygenation combined with core stability training is beneficial to the recovery of lower limb function in patients with lower limb dysfunction after craniocerebral injury, can improve the mental state and reduce the incidence of adverse events, and is worth popularizing and applying.