本文選題：慢性硬膜下血腫 + 鉆孔引流�。� 參考：《重慶醫(yī)學》2016年31期

【摘要】：目的研究慢性硬膜下血腫鉆孔引流術后聯(lián)合高壓氧治療的臨床療效。方法回顧性分析80例慢性硬膜下血腫患者的臨床資料,分為對照組和治療組,對照組行穿刺引流術后常規(guī)治療,治療組在常規(guī)治療的基礎上再加用高壓氧治療,對比兩組患者術后癥狀、體征恢復情況,殘余血腫吸收時間,腦組織復張時間及術后復發(fā)率。結果兩組患者術后癥狀、體征均恢復良好,但治療組效果更佳(P0.05)。治療組腦組織復張及殘余血腫吸收更快,復發(fā)率為0;對照組腦組織復張較慢,復發(fā)率為11.6%,兩組比較差異有統(tǒng)計學意義(P0.05)。結論慢性硬膜下血腫鉆孔引流術后加用高壓氧治療,可更快緩解患者臨床癥狀、體征,腦組織復張好,能有效控制復發(fā)。
[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.
【作者單位】： 四川大學華西廣安醫(yī)院神經外科;第三軍醫(yī)大學新橋醫(yī)院神經外科;第三軍醫(yī)大學新橋醫(yī)院高壓氧科;
【基金】：重慶市自然科學基金資助項目(CSTC-2006BB5062)
【分類號】：R651.15
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本文編號：2033213