探讨颅脑外伤危重患者的临床治疗方法(1)
[摘要] 目的 探討颅脑外伤危重患者的临床治疗方法。方法 以电脑随机的方式，将该院于2015年12月—2016年12月间收治的80例颅脑外伤危重患者，分为研究组(n=40)与常规组(n=40)，所有患者均予以基础治疗，常规组在此基础之上，进行高压氧治疗，研究组则采用醒脑静注射液与高压氧联合治疗方案，对2组患者临床治疗效果进行统计处理，并以ADL(日常生活活动能力量表)、GCS(格拉斯哥昏迷量表)评估2组患者治疗前后的日常生活能力以及意识恢复情况。结果 研究组临床治疗总有效率为90.00%(18/20)，常规组临床治疗总有效率为75.00%(15/20)，组间疗效比较，研究组高于常规组，差异有统计学意义(P<0.05)；治疗前，比较2组ADL评分[(56.74±9.95)分vs (57.12±10.02)]与GCS评分[(5.34±0.56)分 vs (5.41±0.66)分]，差异无统计学意义(P>0.05)；治疗后，两组ADL评分、GCS评分，比较治疗前均有所提高，但研究组ADL评分(85.72±10.35)分、GCS评分(13.15±2.23)分，均高于常规组ADL(70.66±10.82)分、GCS(9.41±2.35)分，组间结果比较差异有统计学意义(P<0.05)。结论 在高压氧治疗的基础之上，与醒脑静注射液联合治疗，对颅脑外伤危重患者进行治疗，有助于患者恢复意识，进一步增强机体功能，临床治疗效果确切，值得临床进一步应用。
[关键词] 颅脑外伤；危重患者；治疗方法；疗效
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2017)10(b)-0098-03
[Abstract] Objective This paper tries to investigate the clinical treatment of critically ill patients with craniocerebral trauma. Methods 80 cases of traumatic brain injury in critically ill patients admitted in this hospital from December 2015 to December 2016 were selected and divided into the study group (n=40) and the conventional group (n=40) by the computer randomly， all patients were given basic treatment， on this basis， the conventional group added hyperbaric oxygen therapy， the study group was treated with Xingnaojing injection combined with hyperbaric oxygen therapy， the clinical effect of two groups was statistically processed， and the ADL (activities of daily living scale， GCS (Glasgow Coma Scale)， daily life ability and consciousness recovery were assessed before and after treatment in two groups of patients. Results The total clinical effective rate was 90.00%(18/20) in the study group， and that of the conventional group was 75.00%(15/20)， so the study group was higher than the conventional group， with statistically significant difference (P<0.05)； before treatment， ADL scores of the two groups were[(56.74±9.95)points vs (57.12±10.02)points]； the score of GCS were[(5.34±0.56)points vs (5.41±0.66)points]， with no statistically significant difference(P>0.05)； after treatment， ADL score， GCS score of two groups before treatment were improved， but the score of ADL in study group was (85.72±10.35) points， GCS score was(13.15±2.23)points， higher than that of the conventional group of (70.66±10.82)points， (9.41±2.35)points， with statistically significant difference (P<0.05). Conclusion On the basis of hyperbaric oxygen therapy， and Xingnaojing injection therapy for the treatment of patients with severe craniocerebral injury can help patients regain consciousness， and further enhance the body function， with definite clinical treatment effect， therefore it is worthy of further clinical application., 百拇医药(杨超)
[关键词] 颅脑外伤；危重患者；治疗方法；疗效
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2017)10(b)-0098-03
[Abstract] Objective This paper tries to investigate the clinical treatment of critically ill patients with craniocerebral trauma. Methods 80 cases of traumatic brain injury in critically ill patients admitted in this hospital from December 2015 to December 2016 were selected and divided into the study group (n=40) and the conventional group (n=40) by the computer randomly， all patients were given basic treatment， on this basis， the conventional group added hyperbaric oxygen therapy， the study group was treated with Xingnaojing injection combined with hyperbaric oxygen therapy， the clinical effect of two groups was statistically processed， and the ADL (activities of daily living scale， GCS (Glasgow Coma Scale)， daily life ability and consciousness recovery were assessed before and after treatment in two groups of patients. Results The total clinical effective rate was 90.00%(18/20) in the study group， and that of the conventional group was 75.00%(15/20)， so the study group was higher than the conventional group， with statistically significant difference (P<0.05)； before treatment， ADL scores of the two groups were[(56.74±9.95)points vs (57.12±10.02)points]； the score of GCS were[(5.34±0.56)points vs (5.41±0.66)points]， with no statistically significant difference(P>0.05)； after treatment， ADL score， GCS score of two groups before treatment were improved， but the score of ADL in study group was (85.72±10.35) points， GCS score was(13.15±2.23)points， higher than that of the conventional group of (70.66±10.82)points， (9.41±2.35)points， with statistically significant difference (P<0.05). Conclusion On the basis of hyperbaric oxygen therapy， and Xingnaojing injection therapy for the treatment of patients with severe craniocerebral injury can help patients regain consciousness， and further enhance the body function， with definite clinical treatment effect， therefore it is worthy of further clinical application., 百拇医药(杨超)