论文部分内容阅读
目的探讨高压氧联合标准外伤大骨瓣减压手术在重型颅脑损伤治疗中的临床效果。方法 60例重型颅脑损伤患者,随机分为观察组与对照组,每组30例,对照组单行标准外伤大骨瓣减压手术治疗,观察组于对照组基础上联合高压氧治疗,观察两组患者治疗前后GCS评分情况及预后情况。结果两组患者治疗前GCS评分,差异无统计学意义(P>0.05),治疗后观察GCS评分明显高于对照组,观察组预后情况明显优于对照组,差异均具有统计学意义(P<0.05)。结论在重型颅脑损伤治疗中,行高压氧联合标准外伤大骨瓣减压手术,治疗效果确切,预后较好,值得临床推广应用。
Objective To investigate the clinical effect of hyperbaric oxygen combined with standard traumatic large bone flap decompression in the treatment of severe craniocerebral injury. Methods Sixty patients with severe craniocerebral trauma were randomly divided into observation group and control group, 30 cases in each group. The control group was treated with standard traumatic big-lobe decompression. The observation group was treated with hyperbaric oxygen on the basis of the control group. Group GCS score before and after treatment and prognosis. Results There was no significant difference in the GCS scores between the two groups before treatment (P> 0.05). After treatment, the GCS score was significantly higher than that of the control group. The prognosis of the observation group was significantly better than that of the control group (P < 0.05). Conclusions In the treatment of severe craniocerebral injury, hyperbaric oxygen combined with standard traumatic large bone flap decompression surgery has definite curative effect and good prognosis, which is worthy of clinical application.