高压氧对高血压性基底核脑出血患者的治疗效果研究

Therapeutic Effect of Hyperbaric Oxygen on Patients with Hypertensive Basal Ganglia Hemorrhage

目的探讨高血压性基底核脑出血患者采用高压氧治疗的临床疗效。方法选取2013年2月—2015年1月就诊于本院的高血压性基底核脑出血患者200例,采用随机数字表法将患者分为观察组100例、对照组100例。观察组采用高压氧结合常规脑出血治疗方式,对照组以常规脑出血治疗方式,进行跟踪随访6个月,对两组患者治疗6个月预后情况(有效率、显效率),并发症发生率及患者日常生活能力进行比较。结果观察组患者显效率(54.0%)高于对照组(28.0%),差异有统计学意义(P<0.05);有效率比较,差异无统计学意义(P>0.05)。观察组患者术后并发症发生率(64.0%)低于对照组(79.0%),癫痫、偏瘫、失语发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者的日常生活能力评分[(66.29±32.18)分]高于对照组评分[(59.66±27.78)分],差异有统计学意义(P<0.05)。结论高压氧治疗高血压性基底核脑出血,能够提高患者的显效率,降低癫痫、偏瘫、失语的发生率以及提高患者出院后日常生活能力,值得临床推广。

Objective To observe the effect of hyperbaric oxygen therapy on patients with hypertensive basal ganglia hemorrhage,and to provide early intervention for patients with hypertensive basal ganglia hemorrhage. Methods From February 2013 to January 2015 in our hospital of hypertensive basal ganglia hemorrhage in 200 cases as the main object of observation,randomly were divided into observation group( 100 cases) and control group( 100 cases),observation group were treated with hyperbaric oxygen therapy combined with conventional cerebral hemorrhage,the control group with normal brain the treatment of bleeding,were followed up for 6 months, according to the analysis of the prognosis of patients with 6 months prognosis of treatment were observed( efficiency,efficiency),complication rate,ability of daily life were compared. Results the patients in the observation group were markedly effective( 54. 0%) was significantly higher than the efficiency of the control group( 28. 0%)( P < 0. 05),the efficiency was not statistically significant( P > 0. 05). Patients in the observation group the incidence of postoperative complications( 64. 0%) was significantly lower than the control group( 79. 0%)( P < 0. 05). The patients in the observation group were significantly less than those in the control group( P < 0. 05). The observation group( 66. 29 ± 32. 18) was significantly higher than that in the control group( 59. 66 ± 27. 78). Conclusion hyperbaric oxygen treatment of hypertensive hemorrhage of basal ganglia, can improve the efficiency significantly in patients with epilepsy,hemiplegia,aphasia,reduce the incidence and improve the ability of daily life of patients after discharge,it is worthy of clinical promotion.