高压氧并神经外科治疗重型颅脑损伤患者的临床疗效观察分析(1)
【摘 要】目的：重点阐述观察重型颅脑损伤患者运用高压氧并神经外科治疗的效果。方法：30例重型颅脑损伤患者于2016年6月-2018年10月在我院神经外科收取，按照不同的治疗方法将其分组，15例重型脑损伤患者仅采用神经外科治疗划分至对照组，其余15例患者采用高压氧并神经外科治疗，将其划分至观察组，将两组患者不同治疗方法的效果进行互比阐述。结果：(1)临床症状改善情况：首先，治疗前两组GCS评分差异微小，无统计学意义(P>0.05)，其次，治疗后观察组GCS评分高达(11.9±0.8)分，远远高于对照组(9.9±1.2)分，互比存在非常明显的统计学差异(P<0.05)；最后，观察组平均清醒用时仅(66.4±2.4)h远远低于对照组(179.2±4.2)h，两组互比统计学差异显著(P<0.05)；最重要一点是，观察组治疗有效率高达93.33%，远远高于对照组66.67%，两组互比x2=18.665，P<0.05。结论：为重型颅脑损伤患者实施高压氧并神经外科治90有积极重要的意义，故该种治疗方法值得借鉴和推广。
【关键词】高压氧；神经外科；重型颅脑损伤；效果
【中图分类号】R47 【文献标识码】A 【文章编号】1672-3783(2019)02-0049-02
【Abstract】Objective： To observe the effect of hyperbaric oxygen combined with neurosurgery in patients with severe brain injury. Methods： 30 patients with severe craniocerebral injury were collected by neurosurgery in our hospital from June 2016 to October 2018. They were grouped according to different treatment methods. 15 patients with severe brain injury were divided into neurosurgery only into control groups. The remaining 15 patients were treated with hyperbaric oxygen and neurosurgery. It was divided into observation groups and the effects of different treatment methods were compared between the two groups. Results：(1) Improvement of clinical symptoms： First， there was a small difference in the GCS scores of the first two groups(P > 0.05)， and second， the GCS score of the post-treatment observation group was as high as(11.9 ± 0.8). Far higher than the control group(9.9 ± 1.2)， there was a very significant statistical difference in the interratio(P 0.05)； Finally， the average sobriety time of the observation group was only(66.4 ± 2.4) H far lower than that of the control group(179.2 ± 4.2) H， and the correlation between the two groups was significantly different(P 0.05)； The most important point was that the treatment efficiency of the observation group was as high as 93.33 %， which was much higher than that of the control group of 66.67 %. The two groups had mutual ratios X2 = 18.665 and P 0.05. Conclusion： The implementation of hyperbaric oxygen and neurosurgical treatment 90 for patients with severe brain injury is of great significance， so this treatment method is worthy of reference and promotion.
【Key words】hyperbaric oxygen； neurosurgery； severe craniocerebral injury； effect
重型顱脑损伤至间接或者直接将暴力作用于头部，直接导致颅脑组织遭受到损伤，损伤面积>20%，该种情况具有极高的死亡率和致残率，为此预后差。依据格拉斯哥昏迷评分将其分类，其中颅脑损伤致昏迷时间>6h，或者发生二次昏迷，则被判定为重型颅脑损伤[1]。脑部组织一旦受创，直接导致脑组织屏障遭到破坏，引起颅内高压，促使脑细胞发生水肿，最终脑组织发生缺血、缺氧或者微循环障碍等，对其生命产生严重的威胁。, 百拇医药(严正军)
【关键词】高压氧；神经外科；重型颅脑损伤；效果
【中图分类号】R47 【文献标识码】A 【文章编号】1672-3783(2019)02-0049-02
【Abstract】Objective： To observe the effect of hyperbaric oxygen combined with neurosurgery in patients with severe brain injury. Methods： 30 patients with severe craniocerebral injury were collected by neurosurgery in our hospital from June 2016 to October 2018. They were grouped according to different treatment methods. 15 patients with severe brain injury were divided into neurosurgery only into control groups. The remaining 15 patients were treated with hyperbaric oxygen and neurosurgery. It was divided into observation groups and the effects of different treatment methods were compared between the two groups. Results：(1) Improvement of clinical symptoms： First， there was a small difference in the GCS scores of the first two groups(P > 0.05)， and second， the GCS score of the post-treatment observation group was as high as(11.9 ± 0.8). Far higher than the control group(9.9 ± 1.2)， there was a very significant statistical difference in the interratio(P
【Key words】hyperbaric oxygen； neurosurgery； severe craniocerebral injury； effect
重型顱脑损伤至间接或者直接将暴力作用于头部，直接导致颅脑组织遭受到损伤，损伤面积>20%，该种情况具有极高的死亡率和致残率，为此预后差。依据格拉斯哥昏迷评分将其分类，其中颅脑损伤致昏迷时间>6h，或者发生二次昏迷，则被判定为重型颅脑损伤[1]。脑部组织一旦受创，直接导致脑组织屏障遭到破坏，引起颅内高压，促使脑细胞发生水肿，最终脑组织发生缺血、缺氧或者微循环障碍等，对其生命产生严重的威胁。, 百拇医药(严正军)
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