高压氧治疗颈髓损伤术后疗效观察

目的探讨高压氧治疗颈髓损伤的疗效。方法48 例颈髓损伤术后患者，在生命体征稳定情况下，除常规治疗外，进行高压氧治疗。治疗前后神经功能采用ASIA残损分级进行评定。结果病程≤30 d 患者高压氧治疗后总有效率高于病程>30 d患者(P<0.05)。高压氧治疗3 个疗程以上患者总有效率高于治疗2 个疗程以下患者(P<0.05)。结论颈髓损伤患者术后应尽早行高压氧治疗3 个疗程以上，高压氧治疗颈髓损伤安全有效。

Effect of Hyperbaric Oxygen on Cervical Spinal Cord Injury

Objective To explore the effects of hyperbaric oxygen on cervical spinal cord injury. Methods 48 postoperative patients with cervical spinal cord injury received hyperbaric oxygen therapy in addition to conventional treatment. Neural function was accessed with International Standards for Neurological Classification of Spinal Cord Injury (American Spinal Injury Association, ASIA) before and after hyperbaric oxygen therapy. Results After hyperbaric oxygen therapy, the total efficiency of patients with course ≤ 30 d was higher than that of patients with course >30 d (P<0.05). The total efficiency of patients accepted more than 3 courses of treatments was higher than that of patients accepted less than 2 courses of treatments (P<0.05). Conclusion Patients with cervical spinal cord injury should receive hyperbaric oxygen therapy for more than 3 courses as soon as possible after surgery.