摘要
目的评估重型颅脑损伤患者高压氧治疗前后格拉斯哥评分情况,分析重型颅脑损伤患者高压氧治疗效果的影响因素。方法选取涉县医院神经外科2013年6月-2015年12月住院治疗的重型颅脑损伤并进行高压氧治疗的患者56例,对患者临床资料进行回顾性分析,比较治疗前及治疗完成后1个月格拉斯哥昏迷评分(GCS)。结果受伤2周内开始高压氧治疗的患者治疗后GCS评分明显高于受伤2周后开始高压氧治疗的患者(P<0.05);多疗程高压氧治疗患者治疗后GCS评分明显高于单疗程高压氧治疗患者(P<0.05)。结论高压氧治疗对于重型颅脑损伤患者疗效确切,早期、多疗程治疗可能影响高压氧治疗的治疗效果。
Objective To assess the Glasgow coma score before and after hyperbaric oxygen therapy in patients with severe craniocerebral injury,analysis of influencing factors of hyperbaric oxygen therapy in patients with severe craniocerebral injury. Methods 56 patients with severe craniocerebral injury and hyperbaric oxygen therapy in Department of Neurosurgery,Shexian Hospital were selected from June 2013 to December 2015,the clinical data of patients were retrospectively analyzed,Glasgow Coma Scale（GCS） was compared before treatment and 1 month after treatment was completed. Results After 2 weeks of hyperbaric oxygen treatment,the Glasgow coma score was higher than that of the patients who started hyperbaric oxygen therapy 2 weeks later,and the difference was statistically significant（P〈0. 05）. Multiple courses of hyperbaric oxygen therapy after treatment in patients with Glasgow coma score was significantly higher than that of single course hyperbaric oxygen in the treatment of patients,and the difference was statistically significant（P〈0. 05）. Conclusion Hyperbaric oxygen therapy is effective for patients with severe craniocerebral injury,early treatment and multi course treatment may affect the effect of hyperbaric oxygen treatment.
出处
《临床合理用药杂志》
2018年第1期30-31,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
颅脑损伤
高压氧
格拉斯哥昏迷评分
Traumatic brain injury
Hyperbaric oxygen
Glasgow coma score
