摘要
目的:探讨不同时机高压氧(HBO)治疗重型颅脑损伤(STBI)的疗效。方法:回顾性分析我院2007年至2010年高压氧治疗≥30次的STBI患者171例,按开始HBO治疗的时间不同,将患者分为A组(≤15d)、B组(16-30d)、C组(>30d),观察三组格拉斯哥昏迷评分(GCS)和疗效的变化。结果:治疗后A组的GCS评分和疗效明显提高,与B组比较,差异显著(P<0.05);与C组比较,差异非常显著(P<0.01),均有统计学意义。结论:早期高压氧治疗STBI的效果好,越早开始HBO治疗效果越好,STBI患者应尽早行HBO治疗。
Objective: To explore the clinical effect of hyperbaric oxygen ( HBO ) treatment at different time on severe traumatic brain injury (STBI). Methods:The clinical data of patients with STBI was retrospectively analyzed from 2007 to 2010 in our hospital. 171 patients were divided into group A(≤15d ) ,group B ( 16-30d ), group C (〉30d) according to beginning time of HBO treatment. And then evaluated the changes of Glasgow coma scores ( GCS ) and clinical efficicacy among three groups. Results: After treatment, GCS and clinical efficicacy of group A significantly increased compared to group B ( P〈0. 05, P〈0. 05 ). Conclusion:The clinical effect of HBO in treatting STBI patients in early time is significant. The earlier , the better efficiency. The STBI patients should be treated with early HBO.
出处
《河北医学》
CAS
2013年第9期1329-1332,共4页
Hebei Medicine
关键词
高压氧
重型颅脑损伤
格拉斯哥昏迷评分
Hyperbaric oxygen
Severe traumatic brain injury
Glasgow coma scale scores