CAJ | 학술논문

目的：探讨早期亚低温结合后期高压氧治疗重度颅脑创伤的临床疗效。方法将该院于2011年10月-2014年10月收治的150例患者分为甲乙丙3组，甲组进行亚低温治疗，乙组进行亚低温结合高压氧治疗，丙组进行常规治疗，对比3组患者的治疗效果。结果乙组病死率为12%，明显低于甲组的26%和丙组的30%，差异具有统计学意义；乙组的良好率为48%，明显高于甲组的40%和丙组的10%，差异具有统计学意义。结论重度颅脑创伤患者采用早期亚低温结合后期高压氧治疗，能够明显减少患者病死率，具有十分显著的恢复良好率，是综合治疗该疾病的有效措施，值得在临床上大力推广和应用。
목적：탐토조기아저온결합후기고압양치료중도로뇌창상적림상료효。방법장해원우2011년10월-2014년10월수치적150례환자분위갑을병3조，갑조진행아저온치료，을조진행아저온결합고압양치료，병조진행상규치료，대비3조환자적치료효과。결과을조병사솔위12%，명현저우갑조적26%화병조적30%，차이구유통계학의의；을조적량호솔위48%，명현고우갑조적40%화병조적10%，차이구유통계학의의。결론중도로뇌창상환자채용조기아저온결합후기고압양치료，능구명현감소환자병사솔，구유십분현저적회복량호솔，시종합치료해질병적유효조시，치득재림상상대력추엄화응용。
Objective To investigate the early mild hypothermia combined with late clinical efficacy of hyperbaric oxygen treat-ment of severe craniocerebral trauma. Methods 150 patients from 2011 to 2014 October were divided into three group A, group B and group C. Group A was given mild hypothermia treatment; group B was given combined therapy of mild hypothermia and hy-perbaric oxygen; group C was given conventional treatment. Therapeutic effects of the three groups were compared. Results The mortality rate was 12%in group B was significantly lower than the 26%and 30%of Group A Group C, the difference was statisti-cally significant; good rate of 48% in group B, was significantly higher than 40% and 10% of group A and group C, and the dif-ferences were statistically significant. Conclusion For patients with severe craniocerebral trauma, combined therapy of mild hy-pothermia and hyperbaric oxygen can significantly reduce mortality and has good recovery rate. It is an effective measure for com-prehensive treatment and should be vigorously promoted and applied in clinical practice.