摘要目的:探讨高压氧（HBO）结合重复经颅磁刺激（rTMS）对不完全性颈髓损伤患者手术后脊髓功能恢复的影响。方法:便利选取2019年6月至2022年12月在宁波市第二医院就诊的不完全性颈椎创伤性脊髓损伤患者80例，采用随机数字表法将入选患者分为对照组（rTMS治疗）和观察组（HBO联合rTMS），每组40例，比较2组患者治疗前后的运动评分（MS）、感觉评分（SIS）、改良Barthel指数（MBI）及神经电生理指标变化。结果:治疗1个月后，观察组MS［（45.3±4.8）分］、SIS［（129.7±6.8）分］、MBI［（59.7±3.5）分］均高于对照组［（43.2±4.7）分、（115.8±6.7）分、（45.8±3.7）］，且之后各个时间点（治疗1个月、3个月、6个月，随访1年、2年、3年）的上述指标均高于同期对照组，差异均有统计学意义（ P<0.05或 P<0.01）。治疗1、3个月后，2组患者的运动诱发电位潜伏期和体感诱发电位N20波幅均高于治疗前，且观察组改善程度优于对照组，差异均有统计学意义（均 P<0.01）。 结论:采用HBO联合rTMS治疗不完全性颈髓损伤有助于促进患者运动和感觉功能的恢复，改善神经电生理指标，提高患者的生活自理能力。

abstractsObjective:To investigate the effect of hyperbaric oxygen（HBO）combined with repetitive transcranial magnetic stimulation（rTMS）on postoperative spinal cord functional recovery in patients with incomplete cervical spinal cord injury.Methods:Eighty patients with incomplete traumatic cervical spinal cord injury treated at Ningbo No. 2 Hospital from June 2019 to December 2022 were conveniently selected and randomly divided into a control group（rTMS therapy， n=40）and an observation group（HBO combined with rTMS， n=40）. The changes of American Spinal Injury Association（ASIA）motor score（MS），sensory score（SIS），modified Barthel index（MBI），and neuroelectrophysiological indicators were compared between the two groups. Results:After one month of treatment，the observation group showed higher MS［（45.3 ± 4.8）points］，SIS［（129.7 ± 6.8）points］，and MBI［（59.7 ± 3.5）points］than the control group［（43.2 ± 4.7）points，（115.8 ± 6.7）points，（45.8 ± 3.7）points］，with these differences persisting at subsequent corresponding time points（after 1，3，and 6 months of treatments，and follow-up at 1，2，and 3 years after treatment）（all P<0.05 or P<0.01）. After 1 and 3 months of treatment，motor evoked potential（MEP）latency and somatosensory evoked potential（SEP）-N20 amplitude improved in both groups compared with baseline，with greater improvement in the observation group（all P<0.01）. Conclusion:HBO combined with rTMS promotes motor and sensory functional recovery，improves neuroelectrophysiological indicators，and enhances activities of daily living in patients with incomplete cervical spinal cord injury.