重型颅脑损伤采用单纯神经外科治疗及合并高压氧治疗的疗效对比研究

A Comparative Study of the Efficacy of Severe Head Injury Treated with Neurosurgery Alone and Hyperbaric Oxygen

目的分析单纯神经外科治疗及合并高压氧应用于重型颅脑损伤治疗的效果比较。方法选取100例2017年1月—2019年1月在该院治疗的重型颅脑损伤患者,根据治疗方法不同分为两组,对照组给予单纯神经外科治疗,研究组联合应用高压氧与神经外科治疗,比较两组治疗效果。结果研究组治疗有效率为96.0%,对照组有效率为80.0%,组间差异有统计学意义(χ~2=6.061,P<0.05)。研究组治疗后GCS评分为(11.9±1.3)分,对照组GCS评分为(9.4±0.7)分,组间差异有统计学意义(t=11.973,P<0.05)。研究组与对照组平均清醒时间分别为(46.3±5.5)h和(217.6±8.6)h,差异有统计学意义(P<0.05)。结论神经外科治疗与高压氧联合应用于重型颅脑损伤患者,能够有效改善患者脑内环境,促进患者脑损伤组织恢复和重建,提高临床治疗效果,缩短患者清醒时间,改善患者预后。

Objective To analyze the effects of neurosurgery alone and hyperbaric oxygen in the treatment of severe head injury.Methods One hundred patients with severe craniocerebral injury treated in the hospital from January 2017 to January 2019 were selected and divided into two groups according to different treatment methods.The control group was treated with neurosurgery alone.The study group was treated with hyperbaric oxygen and nerves.Surgical treatment,the treatment effect of the two groups was compared.Results The treatment effective rate was 96.0%in the study group and 80.0%in the control group,with significant differences between the groups(χ2=6.061,P<0.05).The GCS score of the study group after treatment was(11.9±1.3)points,and the GCS score of the control group was(9.4±0.7)points,with statistically significant differences between the groups(t=11.973,P<0.05).The average awake time of the study group and the control group was(46.3±5.5)h and(217.6±8.6)h,respectively,and the difference was statistically significant(P<0.05).Conclusion The combined use of neurosurgery and hyperbaric oxygen in patients with severe traumatic brain injury can effectively improve the patient's brain environment,promote the recovery and reconstruction of patients with brain injury tissue,improve the clinical treatment effect,shorten the patient's awakening time,and improve the patient's prognosis.