高压氧对高血压性基底核脑出血患者的治疗效果研究

发布时间：2019-07-14 12:03

【摘要】：目的探讨高血压性基底核脑出血患者采用高压氧治疗的临床疗效。方法选取2013年2月—2015年1月就诊于本院的高血压性基底核脑出血患者200例,采用随机数字表法将患者分为观察组100例、对照组100例。观察组采用高压氧结合常规脑出血治疗方式,对照组以常规脑出血治疗方式,进行跟踪随访6个月,对两组患者治疗6个月预后情况(有效率、显效率),并发症发生率及患者日常生活能力进行比较。结果观察组患者显效率(54.0%)高于对照组(28.0%),差异有统计学意义(P0.05);有效率比较,差异无统计学意义(P0.05)。观察组患者术后并发症发生率(64.0%)低于对照组(79.0%),癫痫、偏瘫、失语发生率低于对照组,差异有统计学意义(P0.05)。观察组患者的日常生活能力评分[(66.29±32.18)分]高于对照组评分[(59.66±27.78)分],差异有统计学意义(P0.05)。结论高压氧治疗高血压性基底核脑出血,能够提高患者的显效率,降低癫痫、偏瘫、失语的发生率以及提高患者出院后日常生活能力,值得临床推广。
[Abstract]:Objective to investigate the clinical effect of hyperbaric oxygen therapy in patients with hypertensive basal nucleus intracerebral hemorrhage. Methods from February 2013 to January 2015, 200 patients with hypertensive basal nucleus intracerebral hemorrhage were randomly divided into observation group (n = 100) and control group (n = 100). The observation group was treated with hyperbaric oxygen combined with conventional cerebral hemorrhage, while the control group was followed up for 6 months. The prognosis (effective rate, effective rate), the incidence of complications and the ability of daily living of the patients in the two groups were compared. Results the effective rate of the patients in the observation group (54.0%) was higher than that in the control group (28.0%), the difference was statistically significant (P 0.05), but there was no significant difference in the effective rate (P 0.05). The incidence of postoperative complications in the observation group (64.0%) was lower than that in the control group (79.0%), and the incidence of epilepsy, hemiplegia and aphasia was lower than that in the control group (P 0.05). The score of ability of daily living in the observation group [(66.29 卤32.18)] was higher than that in the control group [(59.66 卤27.78)], the difference was statistically significant (P 0.05). Conclusion Hyperbaric oxygen treatment of hypertensive basal nucleus intracerebral hemorrhage can improve the effective rate of patients, reduce the incidence of epilepsy, hemiplegia, aphasia and improve the ability of daily living after discharge, which is worthy of clinical promotion.
【作者单位】：浙江省金华市中心医院;
【分类号】：R743.34

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