30例颅脑损伤伴肺功能异常行气管切开术后高压氧治疗的效果分析

Analysis on effect of hyperbaric oxygen treatment of 30 cases of craniocerebral injury with pulmonary disfunction

目的:探讨30例颅脑损伤伴肺功能异常行气管切开术后行高压氧治疗的效果。方法:将60例颅脑损伤伴肺功能异常行气管切开术后的患者,随机分为非高压氧组(30例),采用常规的降颅压、护脑、手术、抗菌素(全身、雾化吸入)、支持及对症处理等治疗;高压氧组(30例),除上述常规治疗外,予0·2MPA高压氧暴露,30min×2+10min,每日1次。结果:以临床症状好转、体温正常、肺部罗音消失的天数进行比较,常规组为15·87±6·10天,高压氧组为8·13±2·36天。两组疗效比较差异有显著性意义(P<0·01)。结论:对颅脑损伤伴肺功能异常者行高压氧治疗有较好的疗效。

Objective To explore the curative effectives of hyperbaric oxygen （HBO） treatment of 30 cases of craniocerebral injury with pulmonary disfunction. Methods Divided randomly 60 of the craniocerebral injury with pulmonary disfunction , which were suitable for HBO therapy, into one routine group of 30 cases and one HBO group of 30. The former received non- hyperbaric oxygen therapy such as lowering of craniopresure , cetebro- protection, operation, antibiotic （total txxJy, mist aspiration）, supportive and expectant treatment; the latter, besides the above-mentioned, given 0.2MPA HBO exposure, 30min×2 ＋ 10min, one time each day. The routine , 15.87＋ 6.10 days; the HBO 8.18 ＋ 2.36. Results To compare the days of clinical symptoms improving, temperature normal and lung sound rattle disappearing, there is a statistically significant difference between the two groups （ P 〈0.01）. Conclusion HBO comprehensive therapy is of higher rehabilitation value-for craniocerebral injury with pulmonary disfunction, which is worthy extending and application in clinic.