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目的:探讨脑外伤后血糖改变与高压氧疗效之间的关系。方法:选取70例脑外伤患者为研究对象,分为高压氧治疗组和对照组,以格拉斯哥昏迷评分判断疗效,并测定两组病人治疗前后的血糖浓度,进行比较判定。结果:高压氧治疗组治疗后格拉斯哥昏迷评分为11.9±1.7。对照组评分为10.7±2.0分,两组比较差异有统计学意义(P<0.01),高压氧治疗组疗效明显优于对照组。高压氧组病人治疗前血糖为8.50±4.55mmol/L,对照组病人治疗前为8.76±2.78mmol/L,两组间差异无统计学意义(P>0.05);治疗后高压氧组为5.46±0.84mmol/L,对照组6.04±0.86mmol/L,差异有统计学意义(P<0.01),高压氧组治疗后血糖明显低于对照组。结论:①高压氧综合治疗脑外伤效果明显优于单纯外科治疗,是值得推广应用的治疗手段。②血糖可作为病情及高压氧治疗效果判断的参考指标。
Objective: To investigate the relationship between the changes of blood glucose after traumatic brain injury and hyperbaric oxygen therapy. Methods: Seventy patients with traumatic brain injury were enrolled in this study. The patients were divided into hyperbaric oxygen group and control group. Glasgow coma score was used to judge the curative effect. Blood glucose levels before and after treatment were measured and compared between two groups. Results: The Glasgow coma score after HBO treatment was 11.9 ± 1.7. The control group score was 10.7 ± 2.0 points, the difference between the two groups was statistically significant (P <0.01), hyperbaric oxygen therapy group was significantly better than the control group. Before treatment, hyperglycemia patients had 8.50 ± 4.55mmol / L of blood glucose and 8.76 ± 2.78mmol / L before treatment, there was no significant difference between the two groups (P> 0.05). The hyperbaric oxygen group was 5.46 ± 0.84mmol / L, and the control group 6.04 ± 0.86mmol / L, the difference was statistically significant (P <0.01). The hyperglycemia group was significantly lower than the control group after treatment. Conclusion: ① The comprehensive treatment of traumatic brain injury by hyperbaric oxygen is obviously superior to the simple surgical treatment, which is worth to be popularized and applied. ② blood glucose can be used as a condition and hyperbaric oxygen therapy to determine the effect of reference indicators.