中华航海医学与高气压医学杂志
中華航海醫學與高氣壓醫學雜誌
중화항해의학여고기압의학잡지
CHINESE JOURNAL OF NAUTICAL MEDICINE AND HYPERBARIC MEDICINE
2010年
3期
133-135
,共3页
段军伟%唐晓平%王远传%罗仁国%漆建%唐文国%张涛%彭华%李舜%梅才君%陈灵
段軍偉%唐曉平%王遠傳%囉仁國%漆建%唐文國%張濤%彭華%李舜%梅纔君%陳靈
단군위%당효평%왕원전%라인국%칠건%당문국%장도%팽화%리순%매재군%진령
重型颅脑损伤%慢性脑积水%腰池持续引流%高压氧
重型顱腦損傷%慢性腦積水%腰池持續引流%高壓氧
중형로뇌손상%만성뇌적수%요지지속인류%고압양
Severe craniocerebral injury%Chronic hydrocephalus%Continuous lumbar drainage%Hyperbaric oxygen
目的 探讨重型颅脑损伤(severe craniocerebral injury,SCI)术后早期行腰池持续引流(continuous lumbar drainage,CLD)联合高压氧(hyperbaric oxygen,HBO)治疗对患者慢性脑积水(chronic hydrocephalus,CH)的影响.方法 将我院390例SCI术后患者分为3组:A组130例早期HBO联合CLD治疗,B组130例CLD治疗,C组130例常规药物治疗.比较1年内患者发生CH的差异.结果 3组病例1年内发生CH的比例(例数)分别为:A组5.38%(7例),B组12.31%(16例),C组21.54%(28例),采用x2检验比较3组发病率差异性,A、B组比较x2=3.864,P<0.05;B、C组比较x2=3.939,P<0.05;A、C组比较x2=14.560,P<0.01.结论 CLD可以有效降低SCI术后CH的发生率,若联合HBO治疗效果更明显.
目的 探討重型顱腦損傷(severe craniocerebral injury,SCI)術後早期行腰池持續引流(continuous lumbar drainage,CLD)聯閤高壓氧(hyperbaric oxygen,HBO)治療對患者慢性腦積水(chronic hydrocephalus,CH)的影響.方法 將我院390例SCI術後患者分為3組:A組130例早期HBO聯閤CLD治療,B組130例CLD治療,C組130例常規藥物治療.比較1年內患者髮生CH的差異.結果 3組病例1年內髮生CH的比例(例數)分彆為:A組5.38%(7例),B組12.31%(16例),C組21.54%(28例),採用x2檢驗比較3組髮病率差異性,A、B組比較x2=3.864,P<0.05;B、C組比較x2=3.939,P<0.05;A、C組比較x2=14.560,P<0.01.結論 CLD可以有效降低SCI術後CH的髮生率,若聯閤HBO治療效果更明顯.
목적 탐토중형로뇌손상(severe craniocerebral injury,SCI)술후조기행요지지속인류(continuous lumbar drainage,CLD)연합고압양(hyperbaric oxygen,HBO)치료대환자만성뇌적수(chronic hydrocephalus,CH)적영향.방법 장아원390례SCI술후환자분위3조:A조130례조기HBO연합CLD치료,B조130례CLD치료,C조130례상규약물치료.비교1년내환자발생CH적차이.결과 3조병례1년내발생CH적비례(례수)분별위:A조5.38%(7례),B조12.31%(16례),C조21.54%(28례),채용x2검험비교3조발병솔차이성,A、B조비교x2=3.864,P<0.05;B、C조비교x2=3.939,P<0.05;A、C조비교x2=14.560,P<0.01.결론 CLD가이유효강저SCI술후CH적발생솔,약연합HBO치료효과경명현.
Objective To discuss effects of early continuous lumbar drainage (CLD) combined with hyperbaric oxygen (HBO) on patients with postoperative chronic hydrocephalus (CH) of severe carniocerebral injury (SCI).Methods Three hundred and ninety postoperative cases of SCI collected from our hospital were divided into 3 groups:group A,the early HBO combined with CLD group (130 cases);group B,the CLD group (130 cases);group C,the routine drug treatment group (130 cases).Comparisons were made for the differences in rates of postoperative CH after SCI between groups within one year.Results Bates (or the number of cases) of CH occurred within one year for the 3 groups were as follows:group A 5.38%(7 Cases),group B 12.31%(16 cases),group C 21.54%(28 cases).Differences in the rates for the 3 groups were compared by Chi-square test:the result of the comparison for group A and B was x2=3.864,P<0.05,for group B and C was X2=3.939,P<0.05,for group A and C was x2=14.560,P<0.01.Conclusions CLD could effectively reduce rate of postoperative CH following SCI,with the effect being more obvious if it was combined with HBO.
