中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
9期
118-120
,共3页
高压氧%颅脑损伤%临床效果
高壓氧%顱腦損傷%臨床效果
고압양%로뇌손상%림상효과
Hyperbaric oxygen%Craniocerebral injury%Clinical effect
目的：观察高压氧治疗颅脑损伤的临床效果。方法选取本院230例颅脑损伤术后患者作为研究对象，随机分为观察组和对照组，每组各115例。对照组患者予以抗炎、神经恢复药物、营养支持等常规治疗，观察组患者在对照组治疗基础上采用GY2672/0.3-16IV型高压氧舱在患者身心状况基本稳定后予以高压氧治疗。统计两组患者格拉斯哥预后（GOS）评分、简易精神状态评价量表（MMSE）评分以及并发症发生情况。结果①观察组患者GOS评分显著高于对照组（P＜0.01）；②观察组患者MMSE量表中定向能力、记忆能力、注意和计算能力、回忆能力和语言能力均显著高于对照组（P均＜0.01）；③观察组患者并发症发生率显著低于对照组（P＜0.05）。结论高压氧治疗颅脑损伤患者，可有效降低患者术后风险，提高术后生活质量，安全性和可控性高，对于改善患者预后具有重要意义，值得临床应用并推广。
目的：觀察高壓氧治療顱腦損傷的臨床效果。方法選取本院230例顱腦損傷術後患者作為研究對象，隨機分為觀察組和對照組，每組各115例。對照組患者予以抗炎、神經恢複藥物、營養支持等常規治療，觀察組患者在對照組治療基礎上採用GY2672/0.3-16IV型高壓氧艙在患者身心狀況基本穩定後予以高壓氧治療。統計兩組患者格拉斯哥預後（GOS）評分、簡易精神狀態評價量錶（MMSE）評分以及併髮癥髮生情況。結果①觀察組患者GOS評分顯著高于對照組（P＜0.01）；②觀察組患者MMSE量錶中定嚮能力、記憶能力、註意和計算能力、迴憶能力和語言能力均顯著高于對照組（P均＜0.01）；③觀察組患者併髮癥髮生率顯著低于對照組（P＜0.05）。結論高壓氧治療顱腦損傷患者，可有效降低患者術後風險，提高術後生活質量，安全性和可控性高，對于改善患者預後具有重要意義，值得臨床應用併推廣。
목적：관찰고압양치료로뇌손상적림상효과。방법선취본원230례로뇌손상술후환자작위연구대상，수궤분위관찰조화대조조，매조각115례。대조조환자여이항염、신경회복약물、영양지지등상규치료，관찰조환자재대조조치료기출상채용GY2672/0.3-16IV형고압양창재환자신심상황기본은정후여이고압양치료。통계량조환자격랍사가예후（GOS）평분、간역정신상태평개량표（MMSE）평분이급병발증발생정황。결과①관찰조환자GOS평분현저고우대조조（P＜0.01）；②관찰조환자MMSE량표중정향능력、기억능력、주의화계산능력、회억능력화어언능력균현저고우대조조（P균＜0.01）；③관찰조환자병발증발생솔현저저우대조조（P＜0.05）。결론고압양치료로뇌손상환자，가유효강저환자술후풍험，제고술후생활질량，안전성화가공성고，대우개선환자예후구유중요의의，치득림상응용병추엄。
Objective To observe the clinical effect of hyperbaric therapy for craniocerebral trauma. Method 230 cases of patients with craniocerebral trauma after surgery as studied object, were randomly divided into experimental group and control group. Two groups were given same conventional therapy after surgery, experimental group were added with hyperbaric therapy. Statistical two groups of patients GOS score, MMSE score and complications were observed. Result ①GOS score of experimental group were signiifcantly higher than that in control group (P<0.01).②MMSE items such as orientation ability, memory ability, attention and computing ability, memory ability and language ability of experimental group were signiifcantly higher than that in control group (Pal <0.01). ③Complication rate of experimental group were signiifcantly higher than that in control group (P<0.05). Conclusion Hyperbaric therapy for craniocerebral can decrease the risk after surgery, enhance life quality after surgery, and the safety can be controlled basically, so it deserves considering in clinical work.
