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目的:观察对严重颅脑外伤患者应用HBO(高压氧)治疗的临床效果。方法:对240例严重颅脑外伤患者临床资料进行回顾性分析,将其随机分为观察组(136例)与对照组(104例),对照组予以常规药物治疗,而观察组在此基础上再应用HBO治疗,对两组疗效进行对比。结果:严重颅脑损伤应用HBO治疗后,不仅促进清醒,而且缩短了疗程以及机能的康复等多方面均效果显著,观察组44例治愈(32.35%),52例有效(38.24%),28例好转(20.59%),12例无效(8.82%),其总有效率可达到91.18%;而对照组20例治愈(19.23%),32例有效(30.77%),30例好转(28.85%),22例无效(21.15%),其总有效率可达到78.85%,将两组对比,差异有统计学意义(P<0.05)。结论:对严重颅脑外伤患者应用HBO(高压氧)治疗,有助于其缺血与缺氧等病变的快速恢复,同时降低患者脑损伤后的神经功能障碍及临床并发症和后遗症等发生率,并提高患者生活质量。对严重颅脑外伤具有满意的近期以及远期疗效,可以临床推广应用。
Objective: To observe the clinical effect of applying HBO (hyperbaric oxygen) in patients with severe traumatic brain injury. Methods: The clinical data of 240 patients with severe craniocerebral trauma were retrospectively analyzed. They were randomly divided into observation group (136 cases) and control group (104 cases). The control group was treated with conventional drugs. On the basis of this observation group Then apply HBO treatment, the two groups were compared. Results: Severe craniocerebral injury treated with HBO not only promoted soberness, but also shortened the duration of treatment and functional rehabilitation. The results showed that in the observation group, 44 cases were cured (32.35%), 52 cases were effective (38.24%) and 28 cases (20.59%), 12 cases were ineffective (8.82%), and the total effective rate was 91.18%. While in the control group 20 cases were cured (19.23%), 32 cases were effective (30.77%), 30 cases were improved (28.85% The total effective rate was 78.85% in 22 cases (21.15%). There was significant difference between the two groups (P <0.05). Conclusion: The application of HBO (Hyperbaric Oxygen) in patients with severe traumatic brain injury can help the rapid recovery of ischemic and hypoxic diseases and reduce the incidence of neurological dysfunction and clinical complications and sequelae after brain injury , And improve patient quality of life. Serious traumatic brain injury with satisfactory short-term and long-term efficacy, clinical application.