高压氧对重型颅脑损伤气管切开术后患者气道恢复的影响  

Effect of hyperbaric oxygen treatment on the respiratory tract restoration of severe TBI patients after both craniotomy and tracheotomy

作　　者：刘康峰[1] 黄文娟[1] 肖华[1] 蔡仁端[1] 毕中胜[1] 孙敬伟[1] 周正华[1] 

机构地区：[1]广州市花都区人民医院神经外科,广州花都510800

出　　处：《华夏医学》2014年第2期18-20,共3页Acta Medicinae Sinica

基　　金：广州市医药卫生科技项目资助(201102A212027)

摘　　要：目的：评估重型颅脑损伤开颅术后且行气管切开的患者早期进行高压氧治疗的效果.方法：选择重型颅脑损伤行开颅术后5～9 d的患者42例,分高压氧治疗组和对照组（非高压氧治疗组）各21例,观察患者高压氧治疗4周和入院后3个月内的气管套管拔除例数.结果：高压氧治疗4周内拔除气管套管例数高压氧组较多,两组比较有统计学差异（P＜0.05）,入院后3个月时无统计学差异（P＞0.05）.结论：高压氧对重型颅脑损伤开颅术后气管切开患者的气道恢复有促进作用,早期治疗效果较后期好.Objective： To evaluate the effect of early hyperbaric oxygen therapy （HBOT） on the se vere traumatic brain injury （STBI） patients after craniotomy and tracheotomy. Methods： 42 STBI patients, 5 to 9 days after craniotomy were selected. They were randomly divided into two groups, 21 in the HBOT group and 21 in the non-HBOT group. Comparisons between both groups were made on the removed number of trachea cannula in patients 4 weeks after HBOT and 3 months after admission. Results： The removed number of trachea cannula 4 weeks after the HBOT was higher, which was of statistical difference （P〈0.05）, but no significant difference was found in patients 3 months after admission （P〉0.05）. Conclusion： HBOT is effective to the restoration of STBI patients after both craniotomy and tracheotomy, especially in the early phase.

关 键 词：重型颅脑损伤 开颅术 高压氧 气管切开 

分 类 号：R651.15[医药卫生—外科学]