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目的:观察高压氧联合常规药物治疗高原急性脑梗死的疗效。方法:选择高原急性脑梗死160例,随机分为观察组和对照组各80例。两组均给予脑梗死常规药物治疗,观察组在此基础上联合高压氧治疗。治疗1个月后,比较两组神经功能缺损评分及疗效。结果:治疗后,两组神经功能缺损评分均较治疗前显著或非常显著降低,但观察组分值显著低于对照组治疗后(P<0.05,P<0.01);观察组基本痊愈率23.8%,显效率55.0%,总有效率91.3%,显著高于对照组(P<0.05)。结论:采用高压氧辅助治疗高原脑梗死疗效优于单纯药物治疗,且患者神经功能缺损改善更显著。
Objective: To observe the curative effect of hyperbaric oxygen combined with routine medicine on plateau acute cerebral infarction. Methods: A total of 160 acute cerebral infarction patients were randomly divided into observation group (n = 80) and control group (n = 80). Both groups were given conventional drug treatment of cerebral infarction, the observation group on this basis combined hyperbaric oxygen therapy. One month after treatment, the neurological deficit score and the curative effect were compared between the two groups. Results: After treatment, the scores of neurological deficit in both groups were significantly or very significantly lower than those before treatment, but the values of the observed components were significantly lower than those of the control group after treatment (P <0.05, P <0.01); The cure rate of the observation group was 23.8% , The effective rate was 55.0%, the total effective rate was 91.3%, significantly higher than the control group (P <0.05). Conclusion: Hyperbaric oxygen adjuvant treatment of high altitude cerebral infarction is better than simple drug therapy, and patients with neurological deficits improved more significantly.