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目的:探究针对危重颅脑外伤患者实施神经外科治疗处置的临床治疗效果。方法:择取2015年1月-2016年2月我院收治的危重颅脑外伤患者60例作为本次研究对象,按照患者的入院时间先后顺序随机将其等分为研究组和参照组,每组各包含30例患者,参照组患者在运用常规治疗方法基础上在发病1个月后行高压氧治疗,研究组患者在运用常规治疗方法基础上在发病后1个月之内行高压氧治疗,观察比较两组患者在接受治疗前后的改良Barthel指数和格拉斯哥昏迷量表评分水平,以及临床不良反应发生率。结果:治疗前,研究组患者的改良Barthel指数和格拉斯哥昏迷量表评分与参照组患者大致相当,组间数据差异不具有统计学意义(P>0.05)。治疗后,研究组患者的改良Barthel指数和格拉斯哥昏迷量表评分均显著高于参照组,组间数据差异具有统计学意义(P<0.05)。研究组患者的临床不良反应发生率显著低于参照组患者,组间数据差异具有统计学意义(P<0.05)。结论:针对危重颅脑外伤患者在运用常规治疗方法基础上在发病后1个月之内行高压氧治疗,相较在运用常规治疗方法基础上在发病1个月后行高压氧治疗,能够显著优化患者改善患者的改良Barthel指数和格拉斯哥昏迷量表评分,降低患者的临床不良反应发生率,值得在临床医学实践过程中予以推广运用。
Objective: To explore the clinical treatment of patients with critical craniocerebral injury treated with neurosurgical treatment. Methods: Sixty patients with critical traumatic brain injury admitted in our hospital from January 2015 to February 2016 were selected as the study subjects, and randomly divided into study group and reference group according to their order of admission The patients in each group included 30 patients. The patients in the reference group were treated with hyperbaric oxygen one month after the onset of the conventional therapy. The patients in the study group were treated with hyperbaric oxygen within one month after the onset of the disease on the basis of routine treatment. The modified Barthel index and Glasgow coma scale scores before and after treatment were compared between the two groups, and the incidence of clinical adverse reactions was observed. Results: Before treatment, the modified Barthel index and Glasgow coma scale scores of the study group were almost the same as those of the reference group. There was no significant difference between the two groups (P> 0.05). After treatment, the modified Barthel index and Glasgow coma scale scores of the study group were significantly higher than the reference group, the difference between the groups was statistically significant (P <0.05). The incidence of clinical adverse reactions in the study group was significantly lower than that in the reference group, and the difference between the groups was statistically significant (P <0.05). Conclusion: In patients with critical craniocerebral trauma, hyperbaric oxygen therapy is performed within one month after the onset of the disease on the basis of conventional treatment. Compared with conventional therapy, hyperbaric oxygen therapy can be significantly optimized after one month of onset Patients improve the patient’s modified Barthel index and Glasgow coma scale score, reduce the incidence of clinical adverse reactions in patients, it is worth in the clinical practice of practice to be promoted.