早期高压氧综合治疗对重度颅脑外伤患者临床疗效的影响分析

Effect of early hyperbaric oxygen treatment on clinical efficacy of patients with severe craniocerebral trauma

目的探究对重度颅脑外伤患者进行早期高压氧综合治疗的效果。方法将90例重度颅脑外伤患者随机分为参照组和研究组,每组45例。研究组患者在入院3 d内进行高压氧综合治疗,参照组则进行常规治疗。比较两组患者治疗的总有效率、格拉斯哥昏迷指数(GCS)与日常生活活动能力(ADL)评分。结果治疗后,研究组的治疗总有效率(95.56%)高于参照组(71.11%),差异具有统计学意义(P<0.05);研究组的GCS与ADL评分均高于参照组,差异具有统计学意义(P<0.05)。结论早期高压氧综合治疗对重度颅脑外伤患者具有显著的疗效,且安全可靠,可明显改善患者预后,具有较高的临床应用价值,值得推广。

Objective To investigate the effect of early hyperbaric oxygen treatment in patients with severe craniocerebral trauma. Methods Ninety patients with severe craniocerebral trauma were randomized into two groups （control group and study group）, 45 patients in each group. The patients in the study group received hyperbaric oxygen treatment within 3 days after admission, while the patients in the control group received conventional therapy. The total effective rate, Glasgow Coma Seale（GCS） and Activities of Daily Living（ADL） of the two groups were compared, and the clinical efficacy of the two groups was analyzed, Results After the treatment, the total effective rate of the study group （95.56%） was higher than that of the control group （71.11%）, while GCS and ADL of the study group were also higher than those of the control group, and the differences had statistical significance （P〈0.05）. Conclusion Early hyperbaric oxygen treatment on patients with severe craniocerebral trauma has significant efficacy, and is safe and reliable. Moreover, it may significantly improve the prognosis of patients and has high a clinical application value, which is worth popularizing.