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高压氧对高血压脑出血微创术后患者神经功能恢复的疗效
引用本文:董云,姜艳芝,阎岩,刘桂艳.高压氧对高血压脑出血微创术后患者神经功能恢复的疗效[J].中华航海医学与高气压医学杂志,2011,18(2).
作者姓名:董云  姜艳芝  阎岩  刘桂艳
作者单位:1. 大连大学附属中山医院高压氧科,辽宁省大连,116001
2. 辽宁省朝阳市第二医院
摘    要:目的 探讨高血压脑出血微创术后高压氧(HBO)对神经功能及肢体康复的作用.方法 176例高血压脑出血患者微创术后给予HBO治疗(HBO组),并与138例单纯行微创术患者(对照组)的疗效及术后生活能力进行对比.结果 HBO组176例患者治疗后有效149例(84.66%),其中痊愈86例(48.86%);对照组治疗后有效93例(67.39%),其中痊愈37例(26.81%);2组有效和痊愈情况比较差异有统计学意义(P<0.01).2个月后生活能力随访,HBO组患者恢复程度优于对照组.结论 微创术后配合HBO治疗是一种早期去除致病因素,及时扭转继发性损伤,促进受损组织功能恢复,提高治愈率,降低伤残率的一种较好的治疗方法.
Abstract:
Objective To investigate the effects of HBO on the recovery of nerve and body functions in patients with hypertensive cerebral hemorrhage following mini-invasive surgery. Methods One hundred and seventy-six cases of hypertensive cerebral hemorrhage were given HBO therapy,following mini-invasive surgery. The therapeutic effects and viability of these patients were compared with those of the 138 patients, who received mini-invasive surgery, but without HBO therapy. Results Of the 176 cases in the HBO group, 86 were cured (48. 86% ) , 149 had positive response(84. 66% ), while in the control group, 37 cases were cured (26. 81% ) and 93 responded to surgery treatment(67. 39% ). Statistical significance could be noted, when a comparison was made between the 2 groups. Two months of medical follow - ups indicated that the recovery of patients in the HBO group was obviously superior to that of the patients in the control group. Conclusions Mini-invasive surgery coupled with HBO therapy was an ideal treatment method for early removal of pathogenic factors, in-time reversal of secondary injuries, promotion of functional recovery of damaged tissues, increase in cure rate and decrease in disability rate.

关 键 词:高血压  脑出血  微创术  高压氧  功能恢复

Effects of hyperbaric oxygen on the recovery of nerve functions in patients with hypertensive cerebral hemorrhage following mini-invasive surgery
DONG Yun,JIANG Yan-zhi,YAN Yan,LIU Gui-yan.Effects of hyperbaric oxygen on the recovery of nerve functions in patients with hypertensive cerebral hemorrhage following mini-invasive surgery[J].Chinese Journal of Nautical Medicine and Hyperbaric Medicine,2011,18(2).
Authors:DONG Yun  JIANG Yan-zhi  YAN Yan  LIU Gui-yan
Abstract:Objective To investigate the effects of HBO on the recovery of nerve and body functions in patients with hypertensive cerebral hemorrhage following mini-invasive surgery. Methods One hundred and seventy-six cases of hypertensive cerebral hemorrhage were given HBO therapy,following mini-invasive surgery. The therapeutic effects and viability of these patients were compared with those of the 138 patients, who received mini-invasive surgery, but without HBO therapy. Results Of the 176 cases in the HBO group, 86 were cured (48. 86% ) , 149 had positive response(84. 66% ), while in the control group, 37 cases were cured (26. 81% ) and 93 responded to surgery treatment(67. 39% ). Statistical significance could be noted, when a comparison was made between the 2 groups. Two months of medical follow - ups indicated that the recovery of patients in the HBO group was obviously superior to that of the patients in the control group. Conclusions Mini-invasive surgery coupled with HBO therapy was an ideal treatment method for early removal of pathogenic factors, in-time reversal of secondary injuries, promotion of functional recovery of damaged tissues, increase in cure rate and decrease in disability rate.
Keywords:Hypertension  Cerebral hemorrhage  Mini-invasive surgery  Hyperbaric oxygen  Functional recovery
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