CAJ | 학술논문

目的：观察早期高压氧辅治脑梗死患者的疗效。方法将脑梗死患者237例随机分为观察组156和对照组81例。在常规治疗基础上，两组均给予疏血通联合阿加曲班治疗，观察组于入院第2天开始给予高压氧治疗。观察两组疗效，治疗前后采用卒中量表（NIHSS）对患者神经功能进行评估。结果观察组临床总有效率为95.51%高于对照组的81.48%，差异有统计学意义（P＜0.05）；治疗后两组NIHSS评分均低于治疗前，且观察组低于对照组，差异有统计学意义（P＜0.05）。结论高压氧辅治脑梗死疗效显著，能明显改善脑组织供血供氧状况，减少神经功能损伤和再发危险，值得临床推广应用。
목적：관찰조기고압양보치뇌경사환자적료효。방법장뇌경사환자237례수궤분위관찰조156화대조조81례。재상규치료기출상，량조균급여소혈통연합아가곡반치료，관찰조우입원제2천개시급여고압양치료。관찰량조료효，치료전후채용졸중량표（NIHSS）대환자신경공능진행평고。결과관찰조림상총유효솔위95.51%고우대조조적81.48%，차이유통계학의의（P＜0.05）；치료후량조NIHSS평분균저우치료전，차관찰조저우대조조，차이유통계학의의（P＜0.05）。결론고압양보치뇌경사료효현저，능명현개선뇌조직공혈공양상황，감소신경공능손상화재발위험，치득림상추엄응용。
ObjectiveTo observe the clinical effect of early hyperbaric oxygen in adjuvant treatment of patients with cerebral infarction.MethodsObservation group 156 and control group 81 cases of 237 cases of cerebral infarction were randomlydivided into.On the basis of routine treatment,2 groups were treated with Shuxuetong injection combined withargatroban therapy,the observation group on the second day of admission started giving hyperbaric oxygen therapy.The effect of two groups were observed before and after treatment,using the stroke scale(NIHSS) to assess the patient nerve function.ResultsIn the observation group,the clinical total effective rate was 95.51% higher than that of the control group 81.48%,the difference was statistically signiifcant(P<0.05);NIHSS in the 2 groups after treatment was lower than that before treatment,and the observation group than in the control group,the difference was statistically signiifcant (P<0.05).ConclusionHyperbaric oxygen in adjuvant treatment of cerebral infarction significantly,can significantl improve brain blood supply,reduce the neurological damage andrecurrence risk,is worthy of clinical application.