高压氧在慢性硬膜下血肿钻孔引流术后的应用分析

发布时间：2018-06-18 00:46

  本文选题：慢性硬膜下血肿 + 钻孔引流　； 参考：《重庆医学》2016年31期

【摘要】：目的研究慢性硬膜下血肿钻孔引流术后联合高压氧治疗的临床疗效。方法回顾性分析80例慢性硬膜下血肿患者的临床资料,分为对照组和治疗组,对照组行穿刺引流术后常规治疗,治疗组在常规治疗的基础上再加用高压氧治疗,对比两组患者术后症状、体征恢复情况,残余血肿吸收时间,脑组织复张时间及术后复发率。结果两组患者术后症状、体征均恢复良好,但治疗组效果更佳(P0.05)。治疗组脑组织复张及残余血肿吸收更快,复发率为0;对照组脑组织复张较慢,复发率为11.6%,两组比较差异有统计学意义(P0.05)。结论慢性硬膜下血肿钻孔引流术后加用高压氧治疗,可更快缓解患者临床症状、体征,脑组织复张好,能有效控制复发。
[Abstract]:Objective to study the clinical effect of combined hyperbaric oxygen therapy after drilling and drainage of chronic subdural hematoma. Methods the clinical data of 80 patients with chronic subdural hematoma were analyzed retrospectively and divided into control group and treatment group. The control group received routine treatment after puncture and drainage, and the treatment group was treated with hyperbaric oxygen on the basis of routine treatment. The recovery of symptoms and signs, the absorption time of residual hematoma, the time of brain tissue extension and the recurrence rate were compared between the two groups. Results the symptoms and signs of the two groups recovered well, but the effect of the treatment group was better than that of the control group (P 0.05). The relapse rate of brain tissue in the treatment group was higher than that in the control group (P < 0.05), and the recurrence rate of brain tissue in the control group was 11.6.The difference between the two groups was statistically significant. Conclusion the treatment with hyperbaric oxygen after drilling and drainage of chronic subdural hematoma can relieve the clinical symptoms, signs and brain tissue of the patients more quickly, and can effectively control the recurrence.
【作者单位】： 四川大学华西广安医院神经外科;第三军医大学新桥医院神经外科;第三军医大学新桥医院高压氧科;
【基金】：重庆市自然科学基金资助项目(CSTC-2006BB5062)
【分类号】：R651.15
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本文编号：2033213