高压氧治疗脑外伤硬膜下积液80例的效果分析

Analysis of Effect of High Pressure Oxygen in Treatment of 80 Cases of Patients with Subdural Collection of Fluid of Brain Trauma

目的探究脑外伤硬膜下积液患者通过高压氧治疗后取得的临床成效。方法选取该院2012年6月—2016年6月入院的脑外伤硬膜下积液患者80例,通过随机分组法分为观察组和对照组,每组40例。对照组患者治疗方法为常规基础治疗,观察组患者治疗方法为高压氧治疗。针对临床治疗有效率、治疗前后积液厚度变化情况、治疗满意度及生存质量状况,对两组患者进行对比分析。结果在临床治疗效果方面,观察组治疗总有效率(95%)比对照组总有效率(75%)高(P<0.05);针对积液厚度变化情况,观察组患者治疗1个疗程、2个疗程后积液厚度分别为(5.2±1.9)、(4.0±1.5)mm,对照组积液厚度分别为(5.8±1.7)、(5.0±1.6)mm,观察组患者治疗后均明显低于对照组(P<0.05);针对治疗满意度情况,观察组满意度(100%)显著高于对照组满意度(80%),两组之间差异有统计学意义(P<0.05);在生存质量方面,观察组患者各项指标得分均优于对照组(P<0.05)。结论脑外伤硬膜下积液患者通过高压氧治疗后取得的临床成效显著,在提高治疗效果和治疗满意度的同时,使积液厚度明显降低,且对患者生存质量状况显著改善,有利于促进患者疾病快速恢复,应在临床大力推广应用。

Objective To study the clinical effect of high pressure oxygen in treatment of 80 cases of patients with subdural collection of fluid of brain trauma. Methods 80 cases of patients with subdural collection of fluid of brain trauma treated in our hospital from June 2012 to June 2016 were selected and randomly divided into two groups with 40 cases in each, the control group adopted the routine basic treatment, the observation group adopted the high pressure oxygen, and the clinical treatment effective rate, effusion variation in thickness before and after treatment, treatment satisfactory degree and survival quality were compared between the two groups. Results The total treatment effective rate in the observation group was higher than that in the control group （95% vs 75%）, and the effusion thickness after 1 treatment course and 2 treatment courses in the observation group were obviously lower than those in the control group, [（5.2± 1.9 ）, （4.0± 1.5 ） mm vs （ 5.8 ± 1.7 ）, （5.0± 1.6） mm] （P〈0.05 ）, and the satisfactory degree in the observation group was obviously higher than that in the control group （100% vs 80%）, and various indexes scores in the observation group were better than those in the control group （P〈0.05）. Conclusion The clinical curative effect of high pressure oxygen in treatment of patients with subdural collection of fluid of brain trauma is obvious, which can improve the treatment effect and treatment satisfactory degree, obviously reduce the effusion thickness, obviously improve the survival quality of patients and is conducive to the rapid recovery of patients, and it should be greatly promoted and applied.