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本文报告用高压氧加一般内科疗法治疗散发性脑炎28例的结果,有效率为96.5％,其中治愈率为78.6％。一般内科治疗的有效率为89.3％,治愈率为46.4％。高压氧治疗的治愈率显著高于一般内科疗法(P<0.05)。高压氧治疗的时机越早越好,病程一月内者治愈率可达90％,而病程30—60天者治愈率仅为50％。高压氧能促使意识尽快恢复,神经功能的改善,主要是通过提高动脉血的氧分压,血氧的含量,增加氧的弥散半径,降低颅内压。因此,我们提倡散发性脑炎应及早行高压氧治疗。
This article reports the results of hyperbaric oxygen plus general medical treatment of 28 cases of sporadic encephalitis, the effective rate was 96.5%, of which the cure rate was 78.6%. General medical treatment efficiency was 89.3%, the cure rate was 46.4%. The cure rate of hyperbaric oxygen therapy was significantly higher than that of general medical therapy (P <0.05). The sooner the better the duration of hyperbaric oxygen therapy, the cure rate within one month duration up to 90%, while the duration of 30-60 days, the cure rate was only 50%. Hyperbaric oxygen can promote consciousness to restore as soon as possible, the improvement of nerve function, mainly by increasing the partial pressure of oxygen in the arterial blood, oxygen content, increase the radius of oxygen diffusion, reduce intracranial pressure. Therefore, we advocate that encephalitis should be treated with hyperbaric oxygen as soon as possible.