高压氧治疗对小儿外伤性急性弥漫性脑肿胀预后的影响.pdfVIP

580 Medical Science Journal of Central South China,Nov.2013,Vol.41,No.6 文章编号:2095-1116(2013)06-0580-03 ·临床医学· 高压氧治疗对小儿外伤性急性弥漫性脑肿胀预后的影响 陈摇 锐,邹摇 钦,邹云龙,阳文任,阳小生,吴小兵 (南华大学附属南华医院神经外科,湖南衡阳421002) 摘摇 要:摇 目的摇 探讨高压氧治疗对小儿外伤性急性弥漫性脑肿胀预后的影响。 摇 方法摇 回顾性分析2000 年1月~2013年1月56例外伤性急性弥漫性脑肿胀患儿的临床资料。 其中31例行高压氧治疗,25例未行高压氧 治疗,比较两组患儿的觉醒时间及疗效。 摇 结果摇 高压氧组觉醒时间为 13.2 依4.3 天,明显优于无高压氧组 (17郾8依5.5 天,P0.05),高压氧组预后良好率为77.4%,明显优于无高压氧组(48郾0%,P0.05),重残及死亡率 为22.6%,低于无高压氧组(52郾0%,P0.05)。 摇 结论摇 在常规治疗基础上结合高压氧治疗,能够显著提高小儿 外伤性急性弥漫性脑肿胀的疗效,改善生存质量。 关键词:摇 高压氧;摇 外伤性急性弥漫性脑肿胀;摇 预后 中图分类号:R742郾7摇 摇 摇 文献标识码:A Effects of Hyperbaric Oxygen Treatment on Prognosis of Children with Posttraumatic Acute Diffuse Brain Swelling CHEN Rui,ZOU Qin,ZOU Yunlong,et al (Department of Neurosurgery,theAffiliated Nanhua Hospital,University of South China,Hengyang, Hunan421002,China) Abstract:摇 Objective摇 To investigate the effect of Hyperbaricoxygen(HBO)onprognosisof childrenwithposttrau鄄 matic acute diffusebrain swelling(PADBS).摇 Methods摇 The dateof PADBSadmittedbetweenJanuary2000 andJanuary 2013 were analyzed.Among31 patients who received HBO treatment were taken as study group,and 25 patients who re鄄 ceived non HBO treatment were taken as control group.The awakening time and prognosis were compared between two groups.摇 Result摇 The awakening time in study group was 13.2依4.3 d,whichwas significantly better thanthat in control group(17郾8依5.5 d,P0.05).The rate of favorable prognosis in study group was22.6%,which was significantly better than that in control group(48郾0%,P 0.05).Disability rate and mortality were lower compared with the control group (52郾0%,P0.05).摇 Conclusion摇 Integr