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目的评价高压氧(HBO)治疗病毒性脑炎的效果,探讨病毒性脑炎患者HBO治疗前、后记忆商数(MQ)、长谷川智力量表(HDS)得分的变化情况,以及这些指标的应用价值。方法将60例病毒性脑炎患者随机分为HBO综合治疗组(HBO组)和对照组,比较2组疗效,并测定2组患者治疗前、后MQ、HDS得分。结果HBO组有效率为96.67%,对照组有效率为80%,HBO组有效率明显高于对照组(P<0.05);治疗前MQ、HDS得分随病情加重而减少,治疗后2组患者MQ、HDS得分均较治疗前增加,HBO组MQ、HDS得分明显高于对照组(P<0.01)。结论HBO综合治疗病毒性脑炎效果明显优于单纯药物治疗。MQ、HDS得分可作为病毒性脑炎患者病情变化及HBO综合治疗效果判定的参考指标。
Objective To evaluate the efficacy of hyperbaric oxygen (HBO) in the treatment of viral encephalitis and to explore the changes of scores of memory quotient (MQ) and Hasegawa mental capacity (HDS) before and after HBO treatment in patients with viral encephalitis, Value. Methods Sixty patients with viral encephalitis were randomly divided into HBO group and HBO group. The curative effect was compared between the two groups. The score of MQ and HDS before and after treatment were also measured. Results The effective rate was 96.67% in HBO group and 80% in control group, and the effective rate in HBO group was significantly higher than that in control group (P <0.05). Before treatment, the scores of MQ and HDS decreased with the increase of illness. After treatment, the scores of MQ , HDS scores were increased compared with before treatment, HBO group MQ, HDS score was significantly higher than the control group (P <0.01). Conclusion HBO treatment of viral encephalitis was significantly better than simple drug treatment. MQ, HDS score can be used as a viral encephalitis patient’s condition and HBO comprehensive treatment effect of the reference index.