Objective: To study the effect of hyperbaric oxygen (HBO) treatment of severe brain injury. Methods: Fifty-five patients were divided into a treatment group (n=35 receiving HBO therapy) and a control group (n=20 recei...Objective: To study the effect of hyperbaric oxygen (HBO) treatment of severe brain injury. Methods: Fifty-five patients were divided into a treatment group (n=35 receiving HBO therapy) and a control group (n=20 receiving dehydrating, cortical steroid and antibiotic therapy) to observe the alteration of clinic GCS (Glasgow Coma Scale), brain electric activity mapping (BEAM), prognosis and GOS (Glasgow Outcome Scale) before and after hyperbaric oxygen treatment. Results: In the treatment group GCS,BEAM and GOS were improved obviously after 3 courses of treatment, GCS increased from 5.1 to 14.6 (P< 0.01- 0.001),the BEAM abnormal rate reduced from 94.3% to 38% (P< 0.01- 0.001),the GOS good-mild disability rate was 83.7%, and the middle-severe disability rate was 26.3% compared with the control group. There was a statistic significant difference between the two groups (P< 0.01- 0.001). Conclusions: Hyperbaric oxygen treatment could improve obviously GCS, BEAM and GOS of severe brain injury patients, and effectively reduce the mortality and morbidity. It is an effective method to treat severe brain injury.展开更多
目的探讨格拉斯哥昏迷评分(glasgow coma scale,GCS)、因斯布鲁克昏迷评分(innsbruck comascale,ICS)和急性生理和慢性健康评分Ⅱ(acute physiology and chronic health evaluationⅡ,APACHEⅡ)对昏迷患者脑功能及预后判断的评价价值。...目的探讨格拉斯哥昏迷评分(glasgow coma scale,GCS)、因斯布鲁克昏迷评分(innsbruck comascale,ICS)和急性生理和慢性健康评分Ⅱ(acute physiology and chronic health evaluationⅡ,APACHEⅡ)对昏迷患者脑功能及预后判断的评价价值。方法按3种临床评分标准对GCS3~8分、入院3 d的68例昏迷患者进行评分,并对所得评分结果进行分级、对比,分析其与患者预后的相关性。结果各临床分级标准与预后均有较好的相关性,3种临床评分标准比较,其预测预后的准确性差异无统计学意义(P<0.05)。结论GCS、ICS和APACHEⅡ3种临床评分量表均能对昏迷患者的预后提供良好的诊断价值,3种标准间预测价值差异不明显。展开更多
目的研究老年高血压脑出血患者的治疗方法 ,为老年高血压脑出血患者寻找合适、安全的治疗途径。方法利用立体定向穿刺引流治疗年龄>75岁的高血压脑出血患者21例,其中血肿量20～30 ml 5例,30～60 ml 16例。结果所有患者血肿均得到了...目的研究老年高血压脑出血患者的治疗方法 ,为老年高血压脑出血患者寻找合适、安全的治疗途径。方法利用立体定向穿刺引流治疗年龄>75岁的高血压脑出血患者21例,其中血肿量20～30 ml 5例,30～60 ml 16例。结果所有患者血肿均得到了有效清除,术后第1、3天格拉斯哥昏迷评分(GCS)明显升高。术后除1例少量再出血,2例肺炎、1例一过性肾功能障碍外,无其他严重并发症出现。所有患者平均住院时间为13.2 d。术后随访6个月,恢复良好者7例,中度残疾12例,重度残疾2例,无死亡。结论立体定向血肿穿刺抽吸引流微创、安全、有效,能有效减少并发症,并缩短住院时间。展开更多
文摘Objective: To study the effect of hyperbaric oxygen (HBO) treatment of severe brain injury. Methods: Fifty-five patients were divided into a treatment group (n=35 receiving HBO therapy) and a control group (n=20 receiving dehydrating, cortical steroid and antibiotic therapy) to observe the alteration of clinic GCS (Glasgow Coma Scale), brain electric activity mapping (BEAM), prognosis and GOS (Glasgow Outcome Scale) before and after hyperbaric oxygen treatment. Results: In the treatment group GCS,BEAM and GOS were improved obviously after 3 courses of treatment, GCS increased from 5.1 to 14.6 (P< 0.01- 0.001),the BEAM abnormal rate reduced from 94.3% to 38% (P< 0.01- 0.001),the GOS good-mild disability rate was 83.7%, and the middle-severe disability rate was 26.3% compared with the control group. There was a statistic significant difference between the two groups (P< 0.01- 0.001). Conclusions: Hyperbaric oxygen treatment could improve obviously GCS, BEAM and GOS of severe brain injury patients, and effectively reduce the mortality and morbidity. It is an effective method to treat severe brain injury.
文摘目的探讨格拉斯哥昏迷评分(glasgow coma scale,GCS)、因斯布鲁克昏迷评分(innsbruck comascale,ICS)和急性生理和慢性健康评分Ⅱ(acute physiology and chronic health evaluationⅡ,APACHEⅡ)对昏迷患者脑功能及预后判断的评价价值。方法按3种临床评分标准对GCS3~8分、入院3 d的68例昏迷患者进行评分,并对所得评分结果进行分级、对比,分析其与患者预后的相关性。结果各临床分级标准与预后均有较好的相关性,3种临床评分标准比较,其预测预后的准确性差异无统计学意义(P<0.05)。结论GCS、ICS和APACHEⅡ3种临床评分量表均能对昏迷患者的预后提供良好的诊断价值,3种标准间预测价值差异不明显。
文摘目的研究老年高血压脑出血患者的治疗方法 ,为老年高血压脑出血患者寻找合适、安全的治疗途径。方法利用立体定向穿刺引流治疗年龄>75岁的高血压脑出血患者21例,其中血肿量20～30 ml 5例,30～60 ml 16例。结果所有患者血肿均得到了有效清除,术后第1、3天格拉斯哥昏迷评分(GCS)明显升高。术后除1例少量再出血,2例肺炎、1例一过性肾功能障碍外,无其他严重并发症出现。所有患者平均住院时间为13.2 d。术后随访6个月,恢复良好者7例,中度残疾12例,重度残疾2例,无死亡。结论立体定向血肿穿刺抽吸引流微创、安全、有效,能有效减少并发症,并缩短住院时间。
