高压氧联合标准外伤大骨瓣减压术治疗重型颅脑损伤

The effect of hyperbaric oxygen combined with standard large trauma raniotomy in treatment of severe craniocerebral injury

目的探讨高压氧联合标准外伤大骨瓣减压手术治疗重型颅脑损伤的临床疗效。方法选取我院收治的重型颅脑损伤患者128例,随机分为对照组和观察组各64例。对照组行标准外伤大骨瓣减压术,观察组在对照组基础上给予高压氧,比较两组预后,治疗前后,格拉斯哥昏迷评分(GCS)及颅内压。结果观察组预后良好率高于对照组(P=0.02),治疗后观察组的颅内压低于对照组(P=0.000),GCS评分高于对照组(P=0.00),差异有统计学意义(P<0.05)。结论高压氧联合标准外伤大骨瓣减压手术治疗重型颅脑损伤患者的效果较好,可快速降低颅内压,显著改善患者预后。

Objective To study the effect of hyperbaric oxygen combined with standard large trauma raniotomy in treatment of severe craniocerebral injury.Methods 128 severe craniocerebral injury patients were selected in our hospital,and all patients were randomly divided into control group and observation group,each 64 cases.Patients in control group were given standard large trauma raniotomy,and patients in observation group based on the control group were given hyperbaric oxygen.Prognosis,Glasgow coma scale(GCS)score and intracranial pressure before and after treatment were compared between the two groups.Results Favorable prognosis rate of observation group was higher than that of control group,intracranial pressure was lower than that of control group,GCS score was higher than that of control group,and the difference was statistically significant.Conclusion The effect of hyperbaric oxygen combined with standard large trauma raniotomy in treatment of severe craniocerebral injury was better,can lower intracranial pressure,improve favorable prognosis.