高压氧辅助保守治疗基底节区高血压脑出血

目的探讨高压氧辅助保守治疗基底节区高血压脑出血的效果。方法选择出血量小于30ml的基底节区高血压脑出血76例，随机分为高压氧治疗组和常规治疗组。两组均予基底节区脑出血常规药物治疗并配合康复治疗，高压氧治疗组同时加用高压氧治疗，治疗开始及治疗5周后对两组进行神经功能缺损程度评分比较和临床效果评定。结果治疗前后神经功能缺损程度评分高压氧治疗组分别为（23．46±4．53）分、（11．25±3．18）分，常规治疗组分别为（22．72±5．29）分、（15．69±2．30）分。两组治疗后分别与本组治疗前比较差异均有统计学意义（P〈0．05）；两组治疗后评分比较差异亦有统计学意义（P〈0．05）。治疗显著率高压氧治疗组为79．5％，常规治疗组为56．8％，差异有统计学意义（P〈0．05）。结论常规治疗配合高压氧治疗无需手术的基底节区高血压脑出血，能有效改善患者神经功能缺损症状，减少并发症，提高治疗效果及生存质量。

Conservative and Adjunctive Therapy of Hyperbaric Oxygen Therapy in Treating Hypertensive Basal Ganglia Hemorrhage

Objective To explore the effect of hyperbaric oxygen(HBO) in treating impairment of cerebral function after conservative therapy in patients with hypertensive basal ganglia hemorrhage.Methods Bleeding volume of 76 patients was less than 30 ml.Patients with hypertensive basal ganglia hemorrhage were randomly divided into two groups(hyperbaric oxygen treatment group and control group).Both groups were treated with conventional medical treatment combined with rehabilitation therapy,with additional HBO for treatment group.At the beginning and 5 weeks after treatment,they were assessed for neurologic deficit scale and clinical efficacy.Results The rating of neurologic deficit scale in the treatment group was reduced from(23.46±4.53) to(11.25±3.18) and that of the control group from(22.72±5.29) to(15.69±2.30).The comparison before and after the treatment was statistically significant(P<0.05).Therapeutic efficacy of treatment group(79.5%) was superior to that of control group(56.8%).It was statistically significant(P<0.05).Conclusion The hyperbaric oxygen therapy and rehabilitation therapy have a coordinative effect in expectant treatment of hypertensive basal ganglia hemorrhage.The combination of both the therapies can obviously improve the neurologic impairment,reduce complications and achieve good efficacy and life quality.The treatment is worthy of wide application clinically.