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[目的]观察高压氧辅助治疗以头晕为主要表现的椎基底动脉供血不足疗效。[方法]2008年1月～2010年6月某科共收治头晕患者1 332例,其中诊断为椎基底动脉供血不足122例。分为两组,治疗组62例,在常规治疗的同时行高压氧治疗,对照组60例,观察两组的治疗效果。[结果]治疗3 d后,治疗组治愈率、显效率、有效率分别为:14.5%、27.5%、43.5%,与对照组比较差异有统计学意义(u=7.495,P﹤0.05)。治疗7 d后治疗组治愈率、显效率、有效率25.8%、51.6%、19.4%,与对照组比较差异无统计学意义(u=1.901,P﹥0.05),但显效率明显高于对照组。[结论椎-基底动脉供血不足引起的头晕在常规治疗的同时辅以高压氧治疗能缩短疾病的病程,且预后更好。
[Objective] To observe the effect of hyperbaric oxygen therapy on vertebrobasilar insufficiency which is the main manifestation of dizziness. [Method] From January 2008 to June 2010, a total of 1 332 cases of dizziness were admitted to a department, of which 122 cases were diagnosed as vertebrobasilar insufficiency. Divided into two groups, the treatment group of 62 cases, in the routine treatment of hyperbaric oxygen therapy, 60 cases in the control group, the two groups observed the therapeutic effect. [Results] After 3 days of treatment, the cure rate, effective rate and effective rate of the treatment group were 14.5%, 27.5% and 43.5% respectively, which were significantly different from those of the control group (u = 7.495, P <0.05). After 7 days of treatment, the cure rate, effective rate and effective rate of the treatment group were 25.8%, 51.6% and 19.4%, respectively, with no significant difference compared with the control group (u = 1.901, P> 0.05) . [Conclusion Dizziness caused by insufficiency of vertebrobasilar artery can be shortened and the prognosis is better than conventional therapy supplemented with hyperbaric oxygen therapy.