高压氧联合卒中单元治疗重症小脑出血48例疗效观察  

Curative effects of stroke unit combined hyperbaric oxygen on severe cerebellar hemorrhage

作　　者：王轶群[1] 杨世泉[1] 夏添[1] 余本松[1] 王水平[1] 程晋成[1] 

机构地区：[1]解放军第123医院南京军区高压氧医学专科中心,蚌埠233015

出　　处：《中国实用神经疾病杂志》2013年第20期17-19,共3页Chinese Journal of Practical Nervous Diseases

基　　金：南京军区2010年度医学科技创新经费资助项目(编号10MA039)

摘　　要：目的观察高压氧联合卒中单元治疗严重小脑出血的疗效。方法将研究对象分为卒中单元组(SU组)和普通病房组(非SU组),均常规采用微创钻颅及药物治疗,普通病房组采用常规内科及康复治疗,卒中单元组按标准化操作程序,给予综合康复及高压氧治疗。治疗前后对比分析2组患者的感染率、多脏器功能衰竭(MOF)发生率、病死率及神经功能(NIHSS)、生活能力(Barthel)评价。结果治疗后,与非SU组比较,SU组的感染发生率显著降低;MOF发生率及病死率皆低于非SU组,但无显著性差异;NIHSS和Barthel评定显著改善。结论联合高压氧的卒中单元模式综合管理治疗重症小脑出血患者的疗效显著优于普通住院治疗模式。Objective To observe the curative effects of stroke unit combined hyperbaric oxygen （HBO） on patients with severe cerebellar hemorrhage. Methods 48 inpatients with severe cerebellar hemorrhage were randomly divided into stroke uint （SU） group（27 cases） and non SU group（21 cases）. All the two groups were treated with routine medication and minimally invasive skull as a basic treatment,and SU group received normative management and HBO treatment. The key indexes recorded included infectious rate,multiple organ failure（MOF） rate, hospital mortality rate, National Institutes of Health Stroke Scale （NIHSS） ,Barthel Index（BI）. Results After the treatment,there was significant difference in the infectious rate,NISS and BI between the SU group and the non SU group（P〈0.05）. Conclusion The combination of HBO and SU management mode excels general ward management in the treatment of severe cerebellar hemorrhage.

关 键 词：卒中单元 高压氧 小脑出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]