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研究重型颅脑外伤患者早期高压氧治疗的效果及护理

作者:焦菊红

所属单位:河南省郑州市金水区总医院高压氧科 (河南 郑州450000)

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摘要

目的 针对重型颅脑外伤患者早期应用高压氧治疗,并给予一定的干预措施,探究分析其临床效果。方法 选择2016 年7月至2017年7月在本院进行治疗的88例患者作为本次研究对象,将其以投掷法随机分成两组,其中应用常规治疗 与护理的44例患者作为对照组,另外应用早期高压氧治疗与护理干预的44例患者作为观察组,对比分析两组患者治 疗前后GCS评分及治疗后效果。结果 治疗后观察组GCS评分(12.49±2.71)分显著高于对照组的(10.16±2.12)分, 其差别具有统计学意义(P<0.05);治疗后对照组无效14例(31.82%),有效30例(68.18%),观察组无效2例(4.55%), 有效42例(95.45%),其差别具有统计学意义(P<0.05)。结论 重型颅脑外伤患者早期应用高压氧治疗并给予一定的 护理措施可提高治疗效果与GCS评分,建议广泛应用。

Objective To study the early application of hyperbaric oxygen therapy in patients with severe craniocerebral trauma, and to give some intervention measures to explore and analyze the clinical effect. Methods 88 cases of patients were treated in our hospital from July 2016 to July 2017 who were selected as the subjects, which were randomly divided into two groups by throwing method.44 cases of patients with conventional treatment and nursing were as the control group, 44 cases of patients with early hyperbaric oxygen therapy and nursing intervention were as the observation group, the GCS scores and post - treatment effects were compared between the two groups before and after treatment. Results After treatment, the GCS score was(12.49±2.71) in the observation group, which was significantly higher than that in the control group of (10.16±2.12), the difference was statistically significant (P<0.05). After treatment, the number of ineffectors in the control group was 14 cases (31.82%), the effective number was 30 cases (68.18%), the number of ineffective in the observation group was 2 cases (4.55%), the effective number was 42 cases (95.45%), The difference were statistically significant (P<0.05). Conclusion The application of hyperbaric oxygen therapy in patients with severe craniocerebral trauma and giving some nursing measures can improve the therapeutic effect and GCS score. It is widely recommended.

【关键词】高压氧;早期;重型;颅脑外伤;护理

【中图分类号】R641.1;R651

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.03.013

前言

颅脑外伤多由高空坠落、重度击打、意外事故等 引发的以头痛、呕吐、颅内压增高为主要症状的脑外 科疾病,若没有得到恰当的治疗则会严重影响到患者 的预后,甚至威胁到患者的生命安全[1]。为提高治疗 效果,特对本院44例患者早期行高压氧治疗,并给予 一定的护理措施,取得良好的效果。现将报道如下。