摘要
目的探讨小儿脑疝经限制性过度通气治疗的效果及患儿预后情况。方法选取商丘市妇幼保健院2010年2月—2017年6月收治的脑疝患儿68例,随机分为两组,其中行常规治疗的患儿30例,设定为对照组,行常规治疗联合限制性过度通气治疗的患儿38例,设定为观察组。比较两组患儿的临床治疗效果以及预后情况。结果经过相应治疗后,观察组患儿的治疗总有效率为73.68%,高于对照组的23.33%,对比差异具有统计学意义(P<0.05);观察组患儿病死率为5.26%,低于对照组患者,对比差异具有统计学意义(P<0.05);观察组抢救成功者Glasgow评分>8分的平均时间短于对照组,差异具有统计学意义(P<0.05)。结论限制性过度通气可有效治疗小儿脑疝,改善患儿预后,值得在临床上推广应用。
Objective To study the effect of the treatment of cerebral hernia in children and the prognosis of children.Methods Selection of shangqiu in February 2010,a maternity and children’s health care centers in June 2017,68 cases of cerebral hernia,randomly divided into two groups,one line of conventional treatment of 30 cases of children,setting of the control group,routine treatment with restrictive ventilatory therapy of children with 38 cases,set to observation group. The clinical outcome and prognosis of the two groups were compared. Results After the treatment,the total effective rate of treatment was 73. 68% ,compared with 23. 33% in the control group,and the difference was statistically significant（ P 〈 0. 05）. The mortality rate of children in the observation group was 5. 26% ,compared with those in the control group,and the difference was statistically significant（ P 〈 0. 05）. The average time of the successful Glasgow scoring 〉 8 was shorter than the control group, and the difference was statistically significant（ P 〈 0. 05）.Conclusion Restrictive overventilation can effectively treat children’s cerebral hernia and improve the prognosis of children,and it is worth promoting the application in clinic.
出处
《医药论坛杂志》
2017年第12期29-30,33,共3页
Journal of Medical Forum
关键词
限制性过度通气
小儿脑疝
预后
Restrictive and over-ventilation
Pediatric cerebral hernia
Prognosis
