高壓氧對高血壓性基底核腦出血患者的治療效果研究
發(fā)布時間:2019-07-14 12:03
【摘要】:目的探討高血壓性基底核腦出血患者采用高壓氧治療的臨床療效。方法選取2013年2月—2015年1月就診于本院的高血壓性基底核腦出血患者200例,采用隨機數(shù)字表法將患者分為觀察組100例、對照組100例。觀察組采用高壓氧結(jié)合常規(guī)腦出血治療方式,對照組以常規(guī)腦出血治療方式,進行跟蹤隨訪6個月,對兩組患者治療6個月預(yù)后情況(有效率、顯效率),并發(fā)癥發(fā)生率及患者日常生活能力進行比較。結(jié)果觀察組患者顯效率(54.0%)高于對照組(28.0%),差異有統(tǒng)計學(xué)意義(P0.05);有效率比較,差異無統(tǒng)計學(xué)意義(P0.05)。觀察組患者術(shù)后并發(fā)癥發(fā)生率(64.0%)低于對照組(79.0%),癲癇、偏癱、失語發(fā)生率低于對照組,差異有統(tǒng)計學(xué)意義(P0.05)。觀察組患者的日常生活能力評分[(66.29±32.18)分]高于對照組評分[(59.66±27.78)分],差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論高壓氧治療高血壓性基底核腦出血,能夠提高患者的顯效率,降低癲癇、偏癱、失語的發(fā)生率以及提高患者出院后日常生活能力,值得臨床推廣。
[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 鹵32.18)] was higher than that in the control group [(59.66 鹵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.
【作者單位】: 浙江省金華市中心醫(yī)院;
【分類號】:R743.34
[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 鹵32.18)] was higher than that in the control group [(59.66 鹵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.
【作者單位】: 浙江省金華市中心醫(yī)院;
【分類號】:R743.34
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