高压氧辅助治疗脑膜瘤术后脑水肿的临床疗效观察  

Clinical study of hyperbaric oxygen on improvement of cerebral edema in patients with meningiomas after operation

作　　者：张香菊[1] 王强[1] 徐伦山[2] 陈广鑫[2] 

机构地区：[1]第三军医大学大坪医院野战外科研究所高压氧科,重庆400042 [2]第三军医大学大坪医院野战外科研究所神经外科,重庆400042

出　　处：《重庆医学》2010年第13期1689-1690,共2页Chongqing medicine

摘　　要：目的分析高压氧综合治疗对脑膜瘤术后脑水肿以及脑水肿所致神经功能缺损的治疗效果。方法脑膜瘤术后患者平均分为常规治疗组和高压氧综合治疗组各60例,对照观察两组患者治疗前、后脑水肿的变化和神经功能缺损的康复效果。结果高压氧综合治疗组与常规治疗组对照比较,治疗前、后脑水肿量化指数评分、神经功能缺损强度评分(NFD)和日常生活活动能力评分(ADL),高压氧综合治疗组明显优于常规治疗组,P值分别为<0.05、<0.05、<0.01,差异有统计学意义。结论脑膜瘤术后,生命体征平稳后早期行高压氧治疗可以明显促进术后脑水肿的消退,改善神经功能缺损程度,促进功能康复,提高生活质量。Objective To observe the influence of hyperbaric oxygen （HBO） on neurologic function impairment （NFI） and ac- tivities of daily living caused by cerebral edema in patients with meningiomas after operation. Methods 120 cases with meningiomas were divided into two groups：treated with and without HBO besides conventional treatment. The scores of NFL and Barthel were e valuated before and after treatment. Results The scores of brain edema, NFL and ADL after HBO treatment were siginificantly higher than those in control group. Conclusion HBO can be actively used in patients with meningiomas in the early stage after op- eration,which can improve neurologie function and quality of life significantly.

关 键 词：脑膜瘤术后 脑水肿 早期高压氧治疗 

分 类 号：R739.4[医药卫生—肿瘤]