摘要
目的总结高压氧治疗脊髓栓系综合征术后患者的临床效果。方法将包头市第四人民医院2008年3月—2015年12月收治的确诊为脊髓栓系综合征患者20例,经过微创手术治疗及高压氧治疗,设为氧疗组;把2008年之前经包头市第四人民医院诊断手术治疗(但未做高压氧治疗)的脊髓栓系综合征患者20例,设为对照组;氧疗组患者在术后第2天开始接受高压氧治疗,每天上午、下午各做1次,10 d为1个疗程,共做4个疗程。两组患者分别在术前、术后第1天、术后2个月进行疗效对比。结果两组患者在术前、术后第1天疗效比较差异无统计学意义(P>0.05),手术2个月后疗效比较差异有统计学意义(P<0.05),氧疗组患者的有效率95%明显高于对照组80%。结论脊髓栓系综合征患者术后做4个疗程的高压氧治疗,可显著促进神经功能的康复,疗效确切值得临床推广应用。
Objective To summarize clinical effects of tethered cord syndrome treated by the hyperbaric oxygen therapy.Methods 20 cases of tethered cord syndrome in the Fourth Hospital Of Baotou enrolled from March 2008 to December 2015 were diagnosed and received minimally invasive surgery treatment and hyperbaric oxygen treatment.They were regarded as oxygen cure group.20 cases diagnosised by surgical treatment before 2008 was set to control group.Patients received oxygen cure in 2 days after hyperbaric oxygen therapy,did 1 time in the morning,afternoon and every day,10 days for a period of treatment,a total of four times treatment.Curative effects in preoperative,postoperative day 1,2 months after in two groups were compared.Results Comparative effectiveness in the preoperative and postoperative day 1 in two groups has no significant difference(P>0.05).Curative effects two months after surgery has significant difference(P<0.05).Effective rate was 95%in oxygen therapy group,which was obviously higher than 80%in control group.Conclusion Four times treatment of hyperbaric oxygen therapy can significantly promote the recovery of neurological function and the curative effect is worth clinical application.
作者
郝强
黄建立
田庄
许海鹏
HAO Qiang;HUANG Jian-li;TIAN Zhuang;XU Hai-peng(Department of Orthopedics,Baotou Fourth Hospital,Baotou 014030,China;Medical Department,Baotou Fourth Hospital,Baotou 014030,China;Department of Radiology,Baotou Fourth Hospital,Baotou 014030,China)
出处
《中国全科医学》
CAS
北大核心
2017年第B12期122-124,共3页
Chinese General Practice
关键词
高压氧
治疗
脊髓栓系综合征
疗效
Hyperbaric oxygen
Treatment
Tethered cord syndrome
Curative effect
