微创血肿清除后脑出血行早期高压氧治疗对脑水肿及神经功能的影响

Minimally Invasive Treatment Effects on Brain Edema and Neurological Function of Cerebral Hemorrhage in Early Hyperbaric Oxygen

目的探讨微创血肿清除后脑出血行早期高压氧治疗对脑水肿及神经功能的影响。方法选取2013年1月至2014年5月我院收治的脑出血患者126例,均分为对照组和研究组。对照组63例患者行微创血肿清除,研究组63例患者在对照组治疗基础上给予早期高压氧治疗,比较两组患者脑水肿及神经功能缺损评分(NIS)。结果治疗3 d后,两组患者的脑水肿体积、NIS评分比较,差异均无统计学意义(均P>0.05);治疗7、14、21 d后,研究组患者的脑水肿体积、NIS评分均小于对照组,差异均有统计学意义(均P<0.05)。结论早期高压氧治疗可明显减轻微创血肿清除后脑出血患者的脑水肿体积,降低神经功能损缺,缓解机体神经功能的进一步损害,并降低病死率。

Objective To explore the minimally invasive treatment effects on brain edema and neurological function of cerebral hemorrhage in early hyperbaric oxygen.Methods In 126 patients from 2013 January to 2014 May in our hospital of a cerebral hemorrhage,divided into the control group and the study group,63 cases in each.The controlgroup underwent minimally invasive hematoma removed,the study group received early hyperbaric oxygen therapy on the basis of the control group,the changes were compared between the two groups of brain edema and neurological function.Results After 3 D treatment,compared two groups of patients with cerebral edema volume,NIS score,the difference was not statistically significant（P〉0.05）;treatment for 7,14,21 d,the research group in patients with cerebral edema volume,NIS scores were lower than that of control group,the difference was statistically significant（P〈0.05）. Conclusion Early hyperbaric oxygen therapy can significantly reduce the minimally invasive cerebral hemorrhage in patients with cerebral edema volume,reduce neurological impairment,further damage to ease the body of nerve function,and decrease the mortality rate.