慢性硬膜下血肿术后行高压氧对脑复张的影响  

The effect of hyperbaric oxygen in brain's reexpansion after the operation for chronic subdural hematoma

作　　者：张松[1] 杨春红[1] 陈勇[1] 

机构地区：[1]江苏省淮安市淮阴医院神经外科,江苏淮安223300

出　　处：《临床医药文献电子杂志》2017年第41期7921-7922,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨慢性硬膜下血肿术后行高压氧治疗对脑复张的影响。方法选取慢性硬膜下血肿患者63例,分成对照组和治疗组。对照组29例,术后只行常规药物治疗;治疗组34例,在对照组治疗的基础上辅以高压氧治疗。所有患者分别在术后1月和2月查头颅CT,比较两组病人脑复张的程度。脑复张程度按残腔最大厚度(T)分3级(优:T≤0.5 cm,良:0.5 cm<T≤1.0 cm,差:T>1.0 cm)。结果根据复查的头颅CT结果,1月和2月时两组脑复张程度对比,都具有统计学意义(P<0.05),治疗组优于对照组。结论高压氧治疗可以有效促进钻孔引流术后脑复张,可将之作为一种常规的辅助治疗应用于慢性硬膜下血肿术后治疗中。Objective To discuss the effect of hyperbaric oxygen therapy in brain＇s reexpansion after the operation for chronic subdural hematoma. Methods Select 63 patients with chronic subdural hematoma is divided into control group and treatment group.Control group 29 cases：postoperative routine drug treatment only.Treatment group 34 cases：Hyperbaric oxygen therapy besides the control group treatment.All patients is checked the head CT at 1 month and 2 months after the operation,contrast differences of two groups in the brain＇s reexpansion degrees.The degree of brain＇s reexpansion is divided into 3 grades according to the thickness（T） hematoma residual Cavity largest slice of CT（The best：T〈~0.5cm, General： 0.5cm〈T≤ 1.0cm,Dad： T〉 1.0cm）. Results According to the results of the review head CT, contrast differences of two groups in the brain＇s reexpansion degrees in 1 month and 2 months has statistical significance （P〈0.05）, the treatment group is better than the control group. Conclusion Hyperbaric oxygen therapy can effectively promote postoperative brain＇s reexpansion of drilling drainage surgery, and it can be regarded as conventional adjuvant therapy applied in postoperative treatment of chronic subdural hematoma.

关 键 词：慢性硬膜下血肿 高压氧治疗 脑复张 

分 类 号：R651.15[医药卫生—外科学]