重型颅脑损伤术后高压氧治疗的疗效观察

Effect of hyperbaric oxygen therapy on postoperative severe craniocerebral injury

目的探索重型颅脑损伤患者术后采用高压氧治疗的效果。方法选择收治的重型颅脑损伤患者中选出82例作为本次研究对象,全部患者均在本院接受去骨瓣减压术治疗,根据术后治疗的不同将患者分入到观察组和对照组中,对照组40例患者术后采用常规的抗感染、止血等对症疗法,观察组42例患者在对照组的基础上加用高压氧治疗,对比分析两组患者的治疗效果。结果观察组患者入院1周、2周、3周、4周的GCS评分明显比对照组高,DRS评分明显比对照组低,差异有统计学意义(P<0.05);观察组患者入院4周的气管套管拔除率47.62%高于对照组的25.0%,差异有统计学意义(P<0.05);入院12周两组患者的气管套管拔除率相比差异无统计学意义。结论高压氧在重型颅脑损伤患者术后采用有助于提高治疗效果,促进患者术后的早日康复,值得在临床上推广应用。

Objective To explore the effect of hyperbaric oxygen therapy in severe craniocerebral injury patients.Methods82patients with severe craniocerebral trauma were enrolled in this study.All patients underwent decompressive craniectomy in our hospital.The patients were divided into the observation group and the control group according to the different postoperative treatment.40patients in the control group were treated with conventional anti-infection and hemostasis.42patients in the observation group were treated with hyperbaric oxygen on the basis of the controlgroup.The therapeutic effect of the two groups was compared and analyzed.Results The GCS scores of the observation group were significantly higher than those of the control group at1week,2weeks,3weeks and4weeks,and the DRS score was significantly lower than that of the control group(P<0.05).The observation group(P<0.05).There were no significant differences in the rate of tracheal extubation between the two groups after12weeks of hospitalization,compared with the control group(47.62%vs25.0%,P<0.05).Conclusion Hyperbaric oxygen therapy can improve the curative effect and promote the early recovery of patients after severe craniocerebral trauma.It is worthy to be popularized in clinical practice.