高压氧综合治疗持续性植物状态46例疗效分析  

Effect of hyperbaric oxygen combined therapy on persistent vegetative state in 46 patients

作　　者：王敏 冉春风 李嘉祁 庄志坚 韩冰 

机构地区：[1]广东省深圳市第九人民医院康复科,518116

出　　处：《实用医学杂志》2008年第8期1370-1372,共3页The Journal of Practical Medicine

摘　　要：目的:评估高压氧综合治疗持续性植物状态的疗效和探讨最佳治疗方案。方法:通过对1995-2006年应用高压氧治疗的46例持续植物状态病例的分析,了解原发病因、发病年龄以及高压氧治疗时机与疗效的关系。结果:脑外伤组显效率和好转率明显高于非脑外伤组(P<0.01),开始治疗时间≤30d组及31～60d组好转率明显高于≥61d组(P<0.05)。<30岁者显效率、好转率明显高于30岁以上者(P<0.05)。结论:高压氧综合治疗对脑外伤所致持续植物状态患者60d以内开始行高压氧治疗的患者疗效较好,且年龄越低,疗效越好。Objective To evaluate effectiveness of hyperbaric oxygen combined therapy on persistent vegetative state and explore the best therapeutic regimen for it, Methods Forty-six cases of persistent vegetative state treated with hyperbaric oxygen combined therapy from 1995 to 2006 were analyzed retrospectively, including the effects of etiological factors and age factors and treatment juncture on therapy, Results The excellence rate and the improvement rate were significantly higher in cerebral trauma group than those in no cerebral trauma group. And two groups in which the patients began to receive treatment when became persistent vegetative state for less 61 days recovered better than the other one in which the patients began to receive treatment when became persistent vegetative state for more 60 days, The excellence rate and the improvement rate were significantly higher in cases below 30 years than these in cases over 30 years. Conclusions The effectiveness of hyperbaric oxygen on the patients with persistent vegetative state caused by cerebral trauma and the patients who just begin to receive hyperbaric oxygen therapy treatment when having been ill for less 61 days is better. The effectiveness of therapy is better in younger cases than that in old cases.

关 键 词：持续植物人状态 脑损伤 高压氧 

分 类 号：R741[医药卫生—神经病学与精神病学] R459.6[医药卫生—临床医学]