高压氧疗法对ICU重度颅脑损伤患者的治疗效果研究

Study on effect of hyperbaric oxygen therapy on ICU patients with severe craniocerebral injury

目的分析高压氧疗法治疗重症加强护理病房(ICU)重症颅脑损伤患者的效果。方法60例ICU重度颅脑损伤患者,随机分为对照组和观察组,每组30例。对照组患者采用常规治疗模式进行治疗,观察组患者在对照组基础上加用高压氧疗法进行治疗。比较两组患者临床疗效、治疗前后格拉斯哥昏迷评分法(GCS)评分和残疾评定量表(DRS)评分、并发症发生情况。结果观察组患者的治疗总有效率为93.33%(28/30),明显高于对照组的73.33%(22/30),差异具有统计学意义(P<0.05)。治疗前,两组患者的GCS评分和DRS评分对比差异均无统计学意义(P>0.05)。治疗后,观察组患者的GCS评分(10.74±1.37)分高于对照组的(8.48±1.23)分,DRS评分(14.32±1.54)分低于对照组的(17.43±1.05)分,差异具有统计学意义(P<0.05)。观察组并发症发生率10.00%低于对照组的33.33%,差异具有统计学意义(P<0.05)。结论ICU重症颅脑损伤患者给予高压氧疗法进行治疗,可以有效提升治疗效果,促进患者恢复,减少并发症发生。

Objective To analyze the effect of hyperbaric oxygen therapy on intensive care unit(ICU)patients with severe craniocerebral injury.Methods A total of 60 ICU patients with severe craniocerebral injury were randomly divided into control group and observation group,with 30 cases in each group.Patients in the control group were treated with conventional treatment mode,and patients in the observation group were treated with hyperbaric oxygen therapy on the basis of the control group.The clinical efficacy,Glasgow coma scale(GCS)score,disability rating scale(DRS)score before and after treatment,and complications were compared between the two groups.Results The total effective rate in the observation group was 93.33%(28/30),which was significantly higher than 73.33%(22/30)in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in GCS score and DRS score between the two groups(P>0.05).After treatment,the GCS score(10.74±1.37)points of the observation group was higher than(8.48±1.23)points of the control group,and the DRS score(14.32±1.54)points was lower than(17.43±1.05)points of the control group,and the differences were statistically significant(P<0.05).The incidence of complications 10.00%in the observation group was lower than 33.33%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of hyperbaric oxygen therapy for ICU patients with severe craniocerebral injury can effectively improve the therapeutic effect of patients,promote patient recovery,and reduce complications.