高压氧治疗颅脑损伤致昏迷患者的疗效观察

Therapeutic Effect of Hyperbaric Oxygen on Coma Patients Caused by Craniocerebral Injury

目的研究探讨高压氧治疗在颅脑损伤致昏迷患者治疗当中的具体效果以及治疗效果。方法选择50例我院所收治的颅脑损伤致昏迷患者,本次研究的时间范围为2017年7月-2019年8月。使用随机数字法将50名患者分为两组,每组25人,一组为试验组,一组为对照组,每组为25人。针对对照组患者采用传统的治疗方法进行治疗,针对试验组患者采用高压氧治疗模式。比较两组患者的临床治疗效果,患者家属的治疗满意度,患者的格拉斯哥昏迷指数评分(GCS)其中包括睁眼反应、语言反应、肢体运动以及昏迷程度。结果 (1)试验组家属患者的治疗满意度为(25/25,100.00%)远高于对照组患者家属的治疗满意度(18/25,72.00%),两组之间差异具有统计学意义(P <0.05)。(2)试验组患者的治疗效果与对照组患者的治疗效果差异无统计学意义(P> 0.05)。(3)试验组患者格拉斯哥昏迷指数评分(GCS)其中包括睁眼反应、语言反应、肢体运动以及昏迷程度优于对照组患者(P<0.05)。结论高压氧治疗方法相比于传统的治疗方法对于颅脑损伤致昏迷患者的治疗效果更好,可以有效的促醒颅脑损伤昏迷患者,对于改善患者的预后情况具有重要的意义,效果良好。

Objective To study the specific effect and therapeutic effect of hyperbaric oxygen therapy in the treatment of coma patients caused by craniocerebral injury. Methods 50 patients with coma caused by craniocerebral injury in our hospital were selected. The time range of this study was from July 2017 to August 2019. Using random number method, 50 patients were divided into two groups, 25 in each group, one in the experimental group and the other in the control group, with 25 in each group. The patients in the control group were treated with traditional treatment, and the patients in the experimental group were treated with hyperbaric oxygen therapy. The clinical efficacy, satisfaction of family members and Glasgow Coma Index(GCS) score of patients were compared between the two groups, including eye opening response, language response, limb movement and coma degree. Results(1) The treatment satisfaction of the experimental group(25/25, 100.00%) was much higher than that of the control group(18/25, 72.00%). There were significant differences between the two groups(P < 0.05).(2) There was no significant difference between the treatment effect of the experimental group and the control group.(3) The Glasgow coma index score(GCS) of the experimental group, including eyeopening response, language response, limb movement and coma degree, was better than that of the control group. There was significant difference between the two groups(P < 0.05). Conclusion Compared with the traditional treatment, hyperbaric oxygen therapy has better therapeutic effect on coma patients caused by craniocerebral injury. It can effectively awaken coma patients caused by craniocerebral injury. It is of great significance to improve the prognosis of patients, and the effect is good.