颅内血肿微创术后高压氧治疗时机及临床意义

目的探讨脑出血术后高压氧治疗时机和提高病人术后的生存质量。方法42例术后病人进行高压氧治疗,轻者每日1次;重者每日2次,10 d 1个疗程,连续2个疗程,与非高压氧治疗38例进行疗效比较。结果治疗组按日常生活能力(ADL)分级标准,恢复至ADL I级17例(41％),ADL Ⅱ级11例(26％),ADLⅢ级14例(34％)。对照组ADL I级12例(32％);ADL Ⅱ级8例(21％);ADL Ⅲ级13例(34％);ADL Ⅳ级3例(8％);ADL V级2例(5％)。结论脑出血术后配合高压氧治疗可取得更佳效果。

Therapeutic opportunity and clinical meaning of hyperbaric oxygenation after minimally invasive operation on intracranial hematoma

Objective To study the therapeutic opportunity of postoperative hyperbaric oxygenation (HBO) on intracranial hematoma and how to improve the quality of life in operated patients. Methods 42 operated patients were treated by HBO once daily for the mild and twice for the serious for 2 courses of 10 days, compared to another 38 cases receiving conventional treatment but no HBO therapy. Results After HBO therapy, 17 cases (41 %) got recovered up to ADL 1,11 cases (26 %) to ADL n, 14 cases (33%) to ADL I, while among the patients with non-HBO therapy, 12 cases (32%) to ADL I,8cases(21%) to ADL II, 13 cases (34 %) to ADL I, 3 cases (8 %) to ADL IV; 2 cases (5 %) to ADL V. Conclusion The addition of hyperbaric oxygenation to the surgical therapy is effective in the treatment of intracranial hematoma.