高压氧治疗危重颅脑外伤的疗效分析  

Clinical analysis of the effects of hyperbaric oxygen in the treatment of severe craniocerebral trauma

作　　者：吴过[1] 

机构地区：[1]四川巴中市中心医院神经外科

出　　处：《中国实用神经疾病杂志》2015年第17期12-13,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的 探讨高压氧治疗危重颅脑外伤的临床效果。方法 选择2012-01-2014-01我院收治的100例危重颅脑外伤患者,随机分为对照组与观察组各50例。对照组给予常规治疗,包括营养支持、维持水电解质酸碱平衡等。观察组在对照组基础上行高压氧治疗。观察2组临床疗效。结果 对照组总有效率74.0%,观察组88.0%,差异有统计学意义（P〈0.05）。观察组治疗时间〈30d、31-60d和〉60d的患者总有效率分别为93.8%、80.0%和66.7%,差异有统计学意义（P〈0.05）。结论 与常规治疗相比,高压氧治疗危重颅脑外伤的临床效果更加理想,值得临床推广。Objective To discuss the clinical effect of hyperbaric oxygen in the treatment of severe craniocerebral trauma. Methods 100 cases with severe craniocerebral trauma treated in our hospital from January 2012 to January 2014 were selected , which were randomly divided into control group and observation group ,50 cases in each group. Patients in the control group were given the conventional treatment ,including nutritional support and maintaining water electrolyte and acid‐base balance , etc. The observation group received hyperbaric oxygen therapy on the basis of the control group. We observed clinical thera‐peutic effect of hyperbaric oxygen therapy in observation group during each phase of illness. Results After treatment ,the total effective rate in the control group was 74% ,which was significantly lower than 88% in observation group（P〈0.05）. In obser‐vation group ,the total effective rates of sick time 〈30 d ,31- 60 d and 〉60 d were 93.8% ,80% and 66.7% ,with significant difference （P〈0.05）.Conclusion Compared with the conventional treatment ,clinical effect of hyperbaric oxygen therapy in the treatment of severe craniocerebral trauma can be more ideal ,which is worthy of clinical application. The earlier the patients receive hyperbaric oxygen therapy ,the higher the total efficiency. Therefore patients should be treated as soon as possible.

关 键 词：高压氧 危重颅脑外伤 营养支持 

分 类 号：R651.15[医药卫生—外科学]