高压氧在慢性硬膜下血肿钻孔引流术后的应用分析

Analysis on application of hyperbaric oxygen after chronic subdural hematoma drilling and drainage

目的研究慢性硬膜下血肿钻孔引流术后联合高压氧治疗的临床疗效。方法回顾性分析80例慢性硬膜下血肿患者的临床资料,分为对照组和治疗组,对照组行穿刺引流术后常规治疗,治疗组在常规治疗的基础上再加用高压氧治疗,对比两组患者术后症状、体征恢复情况,残余血肿吸收时间,脑组织复张时间及术后复发率。结果两组患者术后症状、体征均恢复良好,但治疗组效果更佳(P<0.05)。治疗组脑组织复张及残余血肿吸收更快,复发率为0;对照组脑组织复张较慢,复发率为11.6%,两组比较差异有统计学意义(P<0.05)。结论慢性硬膜下血肿钻孔引流术后加用高压氧治疗,可更快缓解患者临床症状、体征,脑组织复张好,能有效控制复发。

Objective To study the clinical effect of combined hyperbaric oxygen therapy after drilling and drainage in chronic subdural hematoma. Methods The clinical data of 80 patients with chronic subdural hematoma were analyzed retrospectively. The patients were randomly divided into the control group and treatment group. The control group was treated with routine treatment after puncture and drainage, while the treatment group was added with the hyperbaric oxygen therapy. The recovery situation of postoperative symptoms and signs, residual hematoma absorption time, reexpansion time of cerebral tissues an postoperative recurrence rate were compared between the two groups. Results The postoperative symptoms and signs in the two groups were recovered well,but the effect of the treatment group was better （P〈0.05）. The brain tissue reexpansion and residual hematoma absorption in the treatment group were faster,the recurrence rate was 0;but which in the control group were slower, the recurrence rate was 11.6 % ,the differences between the two groups were statistically significant （P〈0.05）. Conclusion Adding the hyperbaric oxygen treatment after drilling and drainage in chronic subdural hematoma can more quickly relieve the clinical symptoms and signs,the brain tissue reexpansion is good and the recurrence can be effectively controlled.