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目的:探讨重度颅脑外伤导致偏瘫采用高压氧治疗的临床效果。方法:选取2012年4月~2014年12月期间我院治疗的60例重度颅脑外伤伴偏瘫患者,随机进行分组;对照组采取抗凝血、脱水降颅内压、抗痉挛及改判脑组织微循环等常规治疗,而观察组在常规治疗的基础上,采用高压氧治疗。结果:两组患者治疗后的GCS积分、Fugl-Meyer积分、ADL积分与治疗前相比均显著升高(P<0.05),但观察组的GCS积分、Fugl-Meyer积分、ADL积分升高程度显著大于对照组(P<0.05);观察组患者的临床总有效率为83.33%,对照组患者的临床总有效率为63.33%;两组数据具有统计学意义(P<0.05)。结论:重度颅脑外伤导致偏瘫采用高压氧作为辅助治疗,可显著减少患者并发症发生、改善病情预后及提高患者的生活质量,具有临床可行性。
Objective: To investigate the clinical effect of hyperbaric oxygen therapy on hemiplegia caused by severe traumatic brain injury. Methods: Sixty patients with severe craniocerebral injury accompanied by hemiplegia who were treated in our hospital from April 2012 to December 2014 were randomly divided into groups. In the control group, anticoagulant blood was taken, intracranial pressure was decreased by dehydration, anti-spasm and brain tissue was changed Microcirculation and other conventional treatment, while the observation group on the basis of conventional treatment, the use of hyperbaric oxygen therapy. Results: After treatment, GCS score, Fugl-Meyer score and ADL score were significantly increased in both groups (P <0.05), but GCS score, Fugl-Meyer score and ADL score (P <0.05). The total clinical effective rate was 83.33% in the observation group and 63.33% in the control group. The data of two groups were statistically significant (P <0.05). Conclusion: Severe craniocerebral trauma leads to hemiplegia with hyperbaric oxygen as adjuvant therapy, which can significantly reduce the occurrence of complications, improve the prognosis and improve the quality of life of patients with clinical feasibility.