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目的:对脑出血患者进行高压氧治疗时机选择,以探讨高压氧治疗的疗效。方法:将脑出血患者随机分为脑出血2周以内组237例、脑出血(2～4)周组649例及脑出血4周以上组212例;在常规治疗基础上加0.2MPa40min×2+10min高压氧方案治疗(30～50)次,平均40次。结果:高压氧治疗脑出血总有效率为97.7%,其中Ⅰ组、Ⅱ组有效率为100%,Ⅲ组有效率为88.2%,经行×列2检验,2=106.915,P<0.001,经分割2检验,Ⅰ组、Ⅱ组与Ⅲ组比较有统计学意义,P<0.001。结论:早期进行高压氧治疗是治疗脑出血术后病人功能缺损恢复的有效方法,它具有疗程短、见效快、致残率低等优点。
Objective: To select the timing of hyperbaric oxygen therapy in patients with intracerebral hemorrhage to investigate the effect of hyperbaric oxygen therapy. Methods: The patients with intracerebral hemorrhage were randomly divided into two groups: intracerebral hemorrhage (237 cases), intracerebral hemorrhage (2-4 weeks) and cerebral hemorrhage (more than 4 weeks), 212 cases were treated with 0.2MPa40min × 2 + 10min hyperbaric oxygen regimen (30 ~ 50) times, an average of 40 times. Results: The total effective rate of HBO was 97.7%. The effective rate was 100% in group Ⅰ and group Ⅱ, 88.2% in group Ⅲ, 2 × 106.915, P <0.001, Divided by 2 test, Ⅰ group, Ⅱ group and Ⅲ group was statistically significant, P <0.001. Conclusion: The early hyperbaric oxygen therapy is an effective method for the treatment of patients with functional recovery after intracerebral hemorrhage. It has the advantages of short course of treatment, quick response and low morbidity.