重度颅脑损伤患者实施高压氧治疗的价值探讨

Value of Hyperbaric Oxygen Therapy in Patients with Severe Craniocerebral Injury

目的 探讨分析高压氧治疗在临床中对重度颅脑损伤患者的效果。方法 选取2020年1月—2023年1月淮安市第五人民医院收治的重度颅脑损伤患者80例为研究对象,按随机数表法分为控制组与研究组,每组40例。控制组进行常规治疗,研究组在常规治疗的基础上给予高压氧治疗,比较两组血流动力学指标、格拉斯哥昏迷指数评分、并发症发生情况、临床症状好转时间。结果 治疗后,研究组心率、血氧饱和度、舒张压、收缩压指标水平高于控制组,差异有统计学意义(P均<0.05)。治疗后,研究组格拉斯哥昏迷指数评分比控制组更高,差异有统计学意义(P<0.05)。研究组并发症发生率为5.00%低于控制组的22.50%,差异有统计学意义(χ^(2)=5.165,P<0.05)。研究组症状好转时间比控制组更短,差异有统计学意义(P<0.05)。结论 实施高压氧治疗效果较好,具有促进患者康复的临床价值,可以降低并发症发生率,对患者血流动力学参数具有调节作用,促进患者意识恢复,临床疗效显著。

Objective To investigate the clinical effect of hyperbaric oxygen therapy on patients with severe craniocerebral injury.Methods A total of 80 patients with severe craniocerebral injury admitted to the Fifth People's Hospital of Huai 'an City from January 2020 to January 2023 were selected as the study objects,and were divided into control group and study group according to random number table method,with 40 cases in each group.The control group received conventional treatment,and the study group received hyperbaric oxygen therapy on the basis of conventional treatment.The hemodynamic indexes,Glasgow coma index score,complications,and clinical symptom improvement time of the two groups were compared.Results After treatment,the heart rate,blood oxygen saturation,diastolic blood pressure and systolic blood pressure indexes in the study group were higher than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the Glasgow coma index score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The complication rate of the study group was 5.00% lower than that of the control group(22.50%),and the difference was statistically significant(χ^(2)=5.165,P<0.05).The time of symptom improvement in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of hyperbaric oxygen therapy has a good effect,has the clinical value of promoting the rehabilitation of patients,can reduce the incidence of complications,has a regulating effect on the hemodynamic parameters of patients,and promotes the recovery of consciousness of patients,and the clinical effect is significant.