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目的:探索不同压力高压氧治疗脑挫裂伤后失语症患者的治疗效果。方法:对90例脑挫裂伤后失语症患者按入组时间顺序随机分成3组,对照组给予常规的脑外科综合治疗,治疗组在采用综合治疗基础上,治疗1组采用0.18MPa压力,治疗2组采用0.20MPa压力的高压氧治疗,高压氧1个疗程治疗10d,中间休息2d,共3个疗程。观察治疗前、每个疗程结束后3个组波士顿诊断性失语症(BDAE)的分级变化。结果:经2和3个疗程治疗后,2个治疗组BDAE分级评价较对照组比较,差异有显著性意义(P<0.05)。治疗1组和治疗2组之间在脑外伤失语症的治疗结果上比较差异无显著性意义(P>0.05)。结论:高压氧治疗能促进脑挫裂伤失语症患者的言语功能恢复,患者经2—3个疗程治疗后其言语功能改善较明显,高压氧治疗压力0.18MPA和0.2MPA对脑挫裂伤失语症的治疗效果比较差异无显著性意义。建议采用0.18MPA的压力治疗脑挫裂伤后失语症可能更合适。
Objective: To explore the therapeutic effect of different pressure hyperbaric oxygen therapy on patients with aphasia after brain contusion and laceration. Methods: Ninety patients with aphasia after brain contusion and laceration were randomly divided into 3 groups according to the time sequence of the group. The control group was given conventional brain surgery. The treatment group was treated with 0.18MPa pressure on the basis of comprehensive treatment. Treatment of 2 groups using 0.20MPa pressure hyperbaric oxygen therapy, hyperbaric oxygen treatment of a course of 10d, rest for 2d, a total of 3 courses. Three groups of Boston Diagnostic Aphasia (BDAE) grade changes were observed before treatment and after each course of treatment. Results: After 2 and 3 courses of treatment, the BDAE scores of the two treatment groups were significantly higher than those of the control group (P <0.05). There was no significant difference between treatment 1 and treatment 2 in the treatment of traumatic aphasia (P> 0.05). CONCLUSION: Hyperbaric oxygen therapy can promote the speech function recovery of patients with cerebral contusion and aphasia. The improvement of speech function is obvious in patients treated with 2-3 courses of treatment. The effects of hyperbaric oxygen therapy pressure of 0.18MPA and 0.2MPA on cerebral contusion and aphasia Symptoms of the treatment effect was no significant difference. Proposed 0.18MPA pressure treatment of cerebral contusion aphasia may be more appropriate.