高压氧治疗对颅脑爆震伤患者认知功能障碍的影响

Effect of hyperbaric oxygen therapy on cognitive dysfunction in patients with blast-induced traumatic brain injury

目的评价高压氧治疗对颅脑爆震伤患者认知功能障碍的影响。方法选取中国人民解放军联勤保障部队第九九〇医院2015-01―2020-03收治的符合标准的爆震致颅脑损伤患者36例,对照组采取常规治疗,观察组采用常规治疗+高压氧治疗,比较2组治疗前后有效率及认知功能改善情况。结果观察组有效率(94.44%)高于对照组(55.56%),差异有统计学意义(P<0.05);观察组认知功能各项评分及总分与入院时、对照组相比较,差异有统计学意义(P<0.05)。结论高压氧治疗可明显利于颅脑爆震伤患者的认知功能障碍的恢复,改善患者的预后。

Objective To evaluate the effect of hyperbaric oxygen therapy on cognitive dysfunction in patients with blast-induced traumatic brain injury.Methods Thirty-six patients with blast-induced brain injury admitted to 990th Hospital of PLA from January 2015 to March 2020 were selected.The control group received routine treatment while the observation group received routine treatment plus hyperbaric oxygen treatment.The effective rate and cognitive function improvement before and after treatment were compared.Results 94.44%in the observation group were effective,higher than 55.56%in the control group,and the difference was statistically significant(P<0.05).The scores and total scores of cognitive function in the observation group were significantly different from those in the admission and control groups(P<0.05).Conclusion Hyperbaric oxygen therapy can obviously facilitate the recovery of cognitive dysfunction and improve the prognosis of patients with blast-induced traumatic brain injury.