高压氧治疗不同开始时间对重型颅脑外伤患者的影响  

Impact of the different start time of hyperbaric oxygen therapy on the patients with severe traumatic brain injury

作　　者：贺延梅[1] 刘志云[1] 张健[1] 王明[1] 李静[1] 

机构地区：[1]山东省千佛山医院,山东济南250014

出　　处：《齐鲁护理杂志（中旬刊）》2011年第11期8-9,共2页Journal of Qilu Nursing

摘　　要：目的:探讨高压氧治疗不同开始时间对重型颅脑外伤患者的影响及护理方法。方法:根据高压氧治疗开始时间将192例重型颅脑外伤患者分为A、B、C三组;A组61例,高压氧治疗开始时间<15 d;B组68例,开始时间为15～30 d;C组63例,开始时间>30 d;均给予精心护理。观察比较三组治疗效果。结果:A组治疗有效率为91.8%,B组有效率为77.9%,C组有效率为65.1%,三组治疗有效率比较差异有统计学意义(P<0.05)。结论:重型颅脑外伤患者行高压氧治疗,开始时间越早疗效越好。良好的护理可以提高治疗效果,预防并发症发生,保障患者安全。Objective ： To investigate the impact of the different start time of hyperbaric oxygen therapy on the patients with severe traumatic brain injury and nursing methods. Methods： 192 patients with severe traumatic brain injury were divided into group A （ n = 61 ）, group B （ n = 68 ） and group C （ n =63 ） according to the start time of hyperbaric oxygen therapy. The start time of hyperbaric oxygen therapy was less than 15 days in the group A; the start time was from 15 to 30 days in the group B and more than 30 days in the group C. The patients in these groups were given careful nursing care and the therapeutic effect was observed and compared among the three groups. Results： The effective rates of the treatment were respectively 91.8% , 77.9% and 65.1% in the group A, B and C and the differences were statistically significant （P 〈0.05 ）. Conclusion： The earlier the treatment starts, the better the effect is when the hyperbaric oxygen therapy is applied to the patients with severe traumatic brain injury. And careful nursing care can improve the treatment effect, prevent the incidence of complications and ensure the patient＇s safety.

关 键 词：重型颅脑外伤 高压氧 时间 护理 

分 类 号：R473.6[医药卫生—护理学]