摘要
目的:观察高压氧疗法对ICU的重度颅脑损伤患者进行治疗的效果。方法:选取2017年6月~2018年10月本院ICU接收的50例重度颅脑损伤患者作为研究对象,按照治疗方法不同分为治疗组和对照组,对照组患者采取预防感染,手术清除颅内血肿,甘露醇降低颅内压,气管切开保持呼吸顺畅等常规治疗,纠正电解质紊乱、调节酸解平衡,治疗组在颅内清除术后3~10d在对照组的基础上给予患者单人高压氧舱治疗。采用格拉斯哥评分量表对患者的昏迷程度进行评价,并比较两组患者治疗的有效率。结果:入院时治疗组与对照组患者的格拉斯哥评分分别为(5.2±1.7)分、(5.4±1.6)分,组间差异无统计学意义,P>0.05,具有可比性。治疗3个疗程后,两组分别为(11.8±1.9)分、(8.9±1.7)分,组间差异有统计学意义,P<0.05。治疗组的总有效率为96.0%(24/25),对照组的总有效率为68.0%(17/25),组间差异有统计学意义,P<0.05。结论:对ICU的重度颅脑损伤患者使用高压氧治疗,能促进患者的脑组织恢复,改善患者昏迷状况,效果显著。
Objective:To observe the effect of hyperbaric oxygen therapy on patients with severe head injury in ICU.Methods:Fifty patients with severe craniocerebral injury received in our hospital from June 2017 to October 2018 were selected as research subjects.They were divided into treatment group and control group according to different treatment methods.Internal hematoma,mannitol to reduce intracranial pressure,tracheotomy to maintain smooth breathing and other conventional treatments,to correct electrolyte disorders and adjust acidolysis balance,the treatment group was given to a single patient 3 to 10 days after intracranial clearance Hyperbaric oxygen chamber treatment.Glasgow score scale was used to evaluate the coma of the patients,and the treatment efficiency was compared between the two groups.Results:The Glasgow scores of patients in the treatment group and the control group were(5.2±1.7)points and(5.4±1.6)points at the time of admission.There was no statistically significant difference between the groups.After 3 courses of treatment,the two groups were(11.8±1.9)points and(8.9±1.7)points,the difference between the groups was statistically significant,P<0.05.The total effective rate in the treatment group was 96.0%(24/25),and the total effective rate in the control group was 68.0%(17/25).The difference between the groups was statistically significant,P<0.05.Conclusion:The use of hyperbaric oxygen in patients with severe craniocerebral injury in ICU can promote the recovery of patients'brain tissues and improve the coma of patients.The effect is significant and worthy of clinical promotion.
作者
尹昱
YIN Yu(Department of Critical Medicine,Second Affiliated Hospital of Shenyang Medical College,Liaoning Shenyang 110035)
出处
《中国医疗器械信息》
2020年第4期156-157,共2页
China Medical Device Information
关键词
高压氧疗法
ICU
重度颅脑损伤
hyperbaric oxygen therapy
ICU
severe craniocerebral injury
