高压氧治疗脑外伤硬膜下积液92例分析

目的探讨高压氧治疗脑外伤后硬膜下积液的疗效。方法分析92例脑外伤后硬膜下积液患者高压氧治疗的临床资料,研究随着疗程增加患者症状及硬膜下积液的变化。结果随着疗程增加,患者症状缓解或消失的比例明显升高,尤其治疗2个疗程后疗效更为明显;治疗前及治疗第1、第2、第3个疗程后积液厚度分别为6.1mm、5.5mm、4.0mm和2.2mm,第2个、第3个疗程后积液厚度进一步减小,第1、2个疗程之间以及第2、3个疗程之间积液厚度差异有统计学意义（t=2.751,P=0.007;t=3.264,P=0.001）。结论高压氧治疗脑外伤后硬膜下积液疗效明显,尤其超过2个疗程后疗效更为可观。

Efficacy of hyperbaric oxygen treatment in 92 cases with subdural effusion after cerebral trauma

Objective To investigate the efficacy of hyperbaric oxygen treatment（HBOT） in cases with subdural effusion after cerebral trauma.Methods Collected the clinical data of 92 cases with subdural effusion after cerebral trauma who underwent HBOT,and studied the change of symptom and subdural effusion with increasing treatment.Results With the increasing treatment,remission rate and cure rate of the symptom significantly increased.Especially,the effect after two courses of treatment was more significant.The subdural effusion thickness of before treatment,paragraph 1,2 and 3 course were 6.1 mm,5.5 mm,4.0 mm and 2.2 mm respectively.There was a further reduce of subdural effusion thickness after the second and third treatment course,with a significant difference of subdural effusion thickness between the first and second course,the second and third course（t=2.751,P=0.007;t=3.264,P=0.001）.Conclusion The efficacy of HBOT in subdural effusion after cerebral trauma is significant,especially after two therapy courses..