摘要
目的探讨高压氧(HBO)治疗重型颅脑损伤的疗效。方法将60例重型颅脑损伤患者随机分为治疗组和对照组各30例,对照组行神经外科常规治疗,治疗组在常规治疗基础上给予高压氧治疗,比较2组患者治疗前后格拉斯哥昏迷评分(GCS)变化情况、治疗结果,并于治疗后3个月和6个月进行格拉斯哥预后评分(GOS)。结果治疗组GCS评分较对照组明显改善(P<0.05或P<0.01),治疗组疗效明显优于对照组,2组疗效比较差异具有统计学意义(P<0.05),治疗组GOS亦较对照组改变明显(P<0.05)。结论在重型颅脑损伤的治疗中,高压氧是一种见效快、疗程短、治愈率及总有效率高,致残率低、并发症少、无痛苦的治疗方法,改善预后,提高了患者的生存质量,减轻了社会负担。
Objective To explore the curative effects of hyperbaric oxygen treatment on severe brain injury. Methods Sixty patients with severe brain injury were randomly divided into controlled group and treated group. They were treated with neurosurgical conventional therapy in controlled group,and hyperbaric oxygen （HBO） therapy was added based on the conventional therapy in treated group. The changeable situation of Glasgow coma score（GCS） and curative effects were compared between the two groups before and after therapy,and Glasgow outcome scale （GOS） was made after 3 months and 6 months of therapy. Results Compared with controlled group, there was significant improvement of GCS and better curative therapy in treated group,there was significant difference between them（P〈0.05） ,and so as GOS （P〈0. 05）. Conclusion HBO is a ther apetic method of worked fast,short course of treatment, high curative ratio and total effective rate, low mutilated rate, little complication and anodynia in the therapy of severe brain injury. It could improve the prognosis and viable quality for the pa tients, and relieve the social burden.
出处
《中国实用神经疾病杂志》
2009年第23期1-3,共3页
Chinese Journal of Practical Nervous Diseases
基金
广西教育厅科研基金项目(200710LX124)
