高压氧综合治疗脑炎昏迷患儿80例

Hyperbaric oxygenation combining therapy for 80 children with viral encephalitic coma

目的：观察高压氧综合治疗对病毒性脑炎伴有昏迷患儿的治疗效果。方法：对照组常规应用激素、脱水剂、能量合剂和脑细胞活化剂以及抗病毒药物；高压氧组在常规药物治疗的同时，采用高压氧治疗，以大型舱压力０．２５ＭＰａ，３０分钟×２，其间休息１０分钟，每天１次，１０天为１疗程。结果：高压氧组８０例中痊愈１８例，显效２９例，好转２２例，无效１１例；对照组６０例中痊愈１０例，显效１４例，好转１３例，无效２３例。结论：高压氧促进脑炎昏迷患儿苏醒时间早于对照组。高压氧治疗的最佳时间是昏迷病程在１０天以内。

Objective:To observe the effects of hyperbaric oxygen combining therapy for children with viral encephalitic coma.Methods:The control group(60 cases)were only given the conventional medications including the hormones,dehydrate agents,brain cell activator and antivirus drugs.The treatment group(80 cases) were treated with hyperbaric oxygenation besides the medications,the hyperbaric oxygenation was 30 min first,interval 10 min,30 min repeatedly once a day for 10 days and the pressure was 0.25MPa.Results:In treatment group,the cure was 18 cases,the excellent 29,the improved 22 and the invalid 11 cases.On the other hand,10 cases of control group were the cure,14 the excellent,13 the imroved and 23 the invalid.Conclusion:The awakening time of coma children treated with hyperbaric oxygenation was obviously earlier than the control group.Its optimal therapeutic period is within 10 days of coma.