颅脑损伤高压氧治疗时机探讨

目的探讨不同时期高压氧治疗颅脑损伤对预后的影响。方法选取我院应用高压氧治疗的颅脑损伤患者，按照开始治疗时间不同分为两组，其余治疗措施相同，出院时评定预后。结果早期治疗组(ETG)：恢复良好82(74．5％)，轻残14(12．7％)，重残8(7．3％)，死亡6(5．5％)；晚期治疗组(LTG)：恢复良好40(44．9％)，轻残21(23．6％)，重残15(16．9％)，死亡13(14．6％)，两组相比有显著性差异(P＜0．05)。结论ETG疗效较LTG明显提高，提示高压氧治疗颅脑损伤时间越早，预后越好。

Timing of hyperbaric oxygenation therapy on craniocerebral trauma

Objective To investigate the influence of hyperbaric oxygenat ion (HBO) at the different stages on the prognosis of brain injury. Methods According to the treatment timing, all the patients treated with HBO were divi ded into 2 groups: early treatment group (ETG) and later treatment group (LTG). The prognosis in all the patients was evaluated before they left hospital. Re sults The outcomes of the patients in ETG were as follows: good recovery 82 ( 74.5%), mild disability 14 (12.7%), severe disability 8 (7.3%), death 6 (5.5%); and the LTG were: good recovery 40 (44.9%), mild disability 21 (23.6%), severe d isability 15 (16.9%), death 13 (14.6%). There are significant differences betwe en the two groups. Conclusion The outcomes of the patients treated early were better than those treated lately. The earlier patients were treated with HB O, the better prognosis they would get.