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目的观察高压氧(HBO)治疗脑梗死的临床疗效及治疗时间与疗效之间的关系。方法将260例脑梗死患者随机分为高压氧治疗组(HBO)和单纯药物治疗组(对照组),均予抗聚、扩血管、活血化淤、活化脑细胞等常规治疗。HBO组加用高压氧治疗,1次/d,7 d为一疗程,治疗1个月后评定疗效。结果HBO组治疗总有效率91.9%,对照组总有效率79.4%,差异有统计学意义(P<0.01);HBO组治疗以第2~3个疗程时限显效明显。治疗愈早,疗效愈佳,对发病时间较长者仍可取得较好疗效。结论HBO可提高脑梗死患者疗效,简单安全,副作用小,宜尽早进行,且以第2~3个疗程为最佳治疗时限选择。
Objective To observe the clinical efficacy of hyperbaric oxygen (HBO) in the treatment of cerebral infarction and the relationship between the treatment time and efficacy. Methods 260 patients with cerebral infarction were randomly divided into hyperbaric oxygen therapy group (HBO) and simple drug treatment group (control group), were anti-poly, vasodilators, promoting blood circulation, activation of brain cells and other conventional treatment. HBO group plus hyperbaric oxygen therapy, 1 / d, 7 d for a course of treatment, assessment of efficacy after 1 month. Results The total effective rate was 91.9% in the HBO group and 79.4% in the control group, with significant difference (P <0.01). The duration of the second to third courses in the HBO group was significantly improved. The earlier the treatment, the better the effect, the longer the onset of the disease can still get better results. Conclusion HBO can improve the efficacy of patients with cerebral infarction, simple and safe, small side effects, should be carried out as soon as possible, and 2 to 3 courses of treatment for the best treatment time options.