摘要
目的探讨慢性硬膜下血肿(CSDH)钻孔引流术后联合高压氧治疗的临床疗效。方法选取2014年12月-2016年3月神经外科收治的30例CSDH患者为研究对象,随机分成研究组(n=15)与对照组(n=15),对照组于钻孔引流术后进行常规治疗,研究组于钻孔引流术后进行高压氧联合治疗,对两组临床疗效、残留血肿吸收用时及脑组织复张情况进行比较。结果对照组治疗总有效率较研究组更低(60.00%VS 100.00%),差异具有统计学意义(P<0.05);研究组残留血肿吸收用时比对照组更短[(11.37±1.51)d VS(16.43±1.27)d],而脑组织复张情况优于对照组(93.33%VS 60.00%),差异具有统计学意义(P<0.05)。结论采用引流术后联合高压氧治疗CSDH,可明显缩短残留血肿吸收时间,有效促进脑复张,提高临床疗效。
Objective To investigate the clinical efficacy of combined treatment of chronic subdural hematoma（CSDH） after drilling and drainage. Methods Thirty patients with CSDH were enrolled in our hospital from December2014 to March 2016. They were randomly divided into study group（n = 15） and control group（n = 15）. In the control group,After the routine treatment,the study group in the drilling and drainage after hyperbaric oxygen therapy,the two groups of clinical efficacy,residual hematoma absorption time and brain tissue replantation were compared. Results The total effective rate of the control group was lower than that of the control group（60. 00% vs 100. 00%）,the difference was statistically significant（P〈0. 05）; the residual hematoma was shorter in the study group than in the control group [（11. 37 ± 1. 51）（16. 43 ± 1. 27） d ],while the brain tissue resuscitation was superior to the control group（93. 33% vs 60. 00%）,the difference was statistically significant（P〈0. 05）. Conclusions The combination of hyperbaric oxygen therapy with CSDH can significantly reduce the time of residual hematoma absorption,effectively promote the brain re-Zhang,improve clinical efficacy.
出处
《航空航天医学杂志》
2018年第1期19-21,共3页
Journal of Aerospace medicine
关键词
慢性硬膜下血肿
钻孔引流术
高压氧
疗效
Chronic snbdural hematoma
Drilling and drainage
Hgh pressure
Efficacy
