Clinical efficacy of hyperbaric oxygen combined with different timings of right median‐nerve electrical stimulation in patients with brain injury‐induced disorders of consciousness

Abstract Objective The objective of this study was to investigate the clinical efficacy of hyperbaric oxygen combined with right median‐nerve stimulation (RMNES) in patients with disorders of consciousness caused by brain injury. Methods A total of 120 patients with consciousness disorders caused by...

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Main Authors: Yan‐Song Liu, Zi‐bo Liu, Zhe Yang, Long Zhao, Hong‐Ling Li
Format: Article
Language:English
Published: Wiley 2022-09-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.2716
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author Yan‐Song Liu
Zi‐bo Liu
Zhe Yang
Long Zhao
Hong‐Ling Li
author_facet Yan‐Song Liu
Zi‐bo Liu
Zhe Yang
Long Zhao
Hong‐Ling Li
author_sort Yan‐Song Liu
collection DOAJ
description Abstract Objective The objective of this study was to investigate the clinical efficacy of hyperbaric oxygen combined with right median‐nerve stimulation (RMNES) in patients with disorders of consciousness caused by brain injury. Methods A total of 120 patients with consciousness disorders caused by brain injury were selected. They were randomly divided into three groups, a control group, test group 1 (treated with RMNES after hyperbaric oxygen therapy [HBOT]), and test group 2 (treated with RMNES at the same time as HBOT), with 40 patients in each group. Before and after treatment, the Glasgow coma scale (GCS), brainstem auditory‐evoked potential (BAEP), electroencephalogram (EEG), and upper‐limb sensory‐evoked potential (USEP) were evaluated for the three groups of patients. Results The GCS score of patients in the three groups significantly improved compared with that before treatment (p < .05). There were significant differences in GCS scores among the three groups (p < .05), and the GCS score for the patients was test group 2>test group 1>control group. The EEG, BAEP, and USEP scores were significantly improved compared with those before treatment (p < .05), and the degree of improvement of patients in the three groups was test group 2>test group 1>control group (p < .05). The clinical efficacy of test group 2 was higher than that of test group 1, and the clinical efficacy of test group 1 was higher than that of the control group (p < .05). Conclusion Hyperbaric oxygen combined with RMNES can improve the state of consciousness and promote the recovery of consciousness for patients with consciousness disorders caused by brain injury, and the effect of RMNES combined with HBOT in the chamber on improving the recovery of consciousness is better than after HBOT outside the chamber.
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spelling doaj.art-849b64278c97452db1962e964a7840fc2022-12-22T04:30:30ZengWileyBrain and Behavior2162-32792022-09-01129n/an/a10.1002/brb3.2716Clinical efficacy of hyperbaric oxygen combined with different timings of right median‐nerve electrical stimulation in patients with brain injury‐induced disorders of consciousnessYan‐Song Liu0Zi‐bo Liu1Zhe Yang2Long Zhao3Hong‐Ling Li4The Scond Department of Rehabilitation The Second Hospital of Hebei Medical University Shijiazhuang ChinaDepartment of Endocrinology The Second Hospital of Hebei Medical University Shijiazhuang ChinaThe Scond Department of Rehabilitation The Second Hospital of Hebei Medical University Shijiazhuang ChinaThe Scond Department of Rehabilitation The Second Hospital of Hebei Medical University Shijiazhuang ChinaThe Scond Department of Rehabilitation The Second Hospital of Hebei Medical University Shijiazhuang ChinaAbstract Objective The objective of this study was to investigate the clinical efficacy of hyperbaric oxygen combined with right median‐nerve stimulation (RMNES) in patients with disorders of consciousness caused by brain injury. Methods A total of 120 patients with consciousness disorders caused by brain injury were selected. They were randomly divided into three groups, a control group, test group 1 (treated with RMNES after hyperbaric oxygen therapy [HBOT]), and test group 2 (treated with RMNES at the same time as HBOT), with 40 patients in each group. Before and after treatment, the Glasgow coma scale (GCS), brainstem auditory‐evoked potential (BAEP), electroencephalogram (EEG), and upper‐limb sensory‐evoked potential (USEP) were evaluated for the three groups of patients. Results The GCS score of patients in the three groups significantly improved compared with that before treatment (p < .05). There were significant differences in GCS scores among the three groups (p < .05), and the GCS score for the patients was test group 2>test group 1>control group. The EEG, BAEP, and USEP scores were significantly improved compared with those before treatment (p < .05), and the degree of improvement of patients in the three groups was test group 2>test group 1>control group (p < .05). The clinical efficacy of test group 2 was higher than that of test group 1, and the clinical efficacy of test group 1 was higher than that of the control group (p < .05). Conclusion Hyperbaric oxygen combined with RMNES can improve the state of consciousness and promote the recovery of consciousness for patients with consciousness disorders caused by brain injury, and the effect of RMNES combined with HBOT in the chamber on improving the recovery of consciousness is better than after HBOT outside the chamber.https://doi.org/10.1002/brb3.2716brain injurydisorders of consciousnesshyperbaric oxygen therapyright median‐nerve electrical stimulation
spellingShingle Yan‐Song Liu
Zi‐bo Liu
Zhe Yang
Long Zhao
Hong‐Ling Li
Clinical efficacy of hyperbaric oxygen combined with different timings of right median‐nerve electrical stimulation in patients with brain injury‐induced disorders of consciousness
Brain and Behavior
brain injury
disorders of consciousness
hyperbaric oxygen therapy
right median‐nerve electrical stimulation
title Clinical efficacy of hyperbaric oxygen combined with different timings of right median‐nerve electrical stimulation in patients with brain injury‐induced disorders of consciousness
title_full Clinical efficacy of hyperbaric oxygen combined with different timings of right median‐nerve electrical stimulation in patients with brain injury‐induced disorders of consciousness
title_fullStr Clinical efficacy of hyperbaric oxygen combined with different timings of right median‐nerve electrical stimulation in patients with brain injury‐induced disorders of consciousness
title_full_unstemmed Clinical efficacy of hyperbaric oxygen combined with different timings of right median‐nerve electrical stimulation in patients with brain injury‐induced disorders of consciousness
title_short Clinical efficacy of hyperbaric oxygen combined with different timings of right median‐nerve electrical stimulation in patients with brain injury‐induced disorders of consciousness
title_sort clinical efficacy of hyperbaric oxygen combined with different timings of right median nerve electrical stimulation in patients with brain injury induced disorders of consciousness
topic brain injury
disorders of consciousness
hyperbaric oxygen therapy
right median‐nerve electrical stimulation
url https://doi.org/10.1002/brb3.2716
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