高压氧治疗胸段脊髓损伤的临床分析  

Clinical Analysis of Hyperbaric Oxygen Therapy for Thoracic Spinal Injury

作　　者：陆晚 黄宗国 廖胜[2] 柳韵 张忠荣[2] 杨星华[2] 刘星 LU Wan;HUANG Zong-guo;LIAO Sheng;LIU Yun;ZHANG Zhong-rong;YANG Xing-hua;LIU Xing(Department of Hyperbaric Oxygen,No.452 Hospital of PLA,Chengdu 610083,Sichuan,China;Department of Trauma Micro Surgery,No.324 Hospital of PLA,Chongqing 400020,China;Department of Urology,Second Affiliated Hospital of the Third Military Medical University,Chongqing 400037,China)

机构地区：[1]解放军第四五二医院高压氧科,四川成都610083 [2]解放军第三二四医院创伤显微外科,重庆400020 [3]第三军医大学第二附属医院泌尿外科,重庆400037

出　　处：《医学信息》2018年第10期84-86,共3页Journal of Medical Information

摘　　要：目的探讨高压氧在治疗胸段脊髓损伤患者的效果。方法选择2014年3月~2016年3月我院收治92例胸段脊髓损伤患者,随机分为对照组和高压氧组,各46例,伤后1~2周内均行脊髓减压手术,术后两组均使用常规药物治疗,高压氧组在此基础上配合高压氧治疗,两组治疗时间均为180 d,随后比较两组治疗效果。结果高压氧组总有效率为93.57%,高于对照组的76.72%,差异具有统计学意义(P<0.05);高压氧组在治疗2个疗程前,治疗效果不明显,治疗3个疗程后,开始出现较好的治疗效果,且在治疗6个疗程后达到高峰并趋于稳定。结论常规药物联合高压氧综合治疗脊髓损伤,可以有效促进患者脊髓功能恢复,降低致残率,成为一种安全、有效的脊髓损伤治疗手段。Objective To investigate the effect of hyperbaric oxygen in the treatment of thoracic spinal injury.Methods From March 2014 to March 2016,92 patients with thoracic spinal injury in our hospital were randomly divided into control group and hyperbaric oxygen group,46 cases each group.Decompression of spinal cord was performed within 1 to 2 weeks after injury.Both groups were treated with conventional drugs.The hyperbaric oxygen group was treated with hyperbaric oxygen on the basis of this treatment.The treatment time was 180 d in both groups.The treatment effects of the two groups were then compared.Results The total effective rate of hyperbaric oxygen group was 93.57%,which was higher than 76.72%of the control group,the difference was statistically significant(P<0.05).The hyperbaric oxygen group had no obvious treatment effect before 2 courses of treatment.After 3 courses of treatment,good therapeutic effects began to appear,and peaked after 6 courses of treatment,becoming steady.Conclusion Conventional drugs combined with hyperbaric oxygen therapy for spinal cord injury can effectively promote the recovery of spinal cord function and reduce the disability rate,and become a safe and effective treatment for spinal injury.

关 键 词：胸段脊髓损伤 高压氧 血管内皮细胞生长因子 

分 类 号：R651.2[医药卫生—外科学] R459.5[医药卫生—临床医学]