| 李道龙,沈俊,杨振时,沈正东,张玉忠.引流联合高压氧治疗老年慢性硬膜下血肿疗效分析[J].中国临床保健杂志,2018,21(6):801-803. |
| 引流联合高压氧治疗老年慢性硬膜下血肿疗效分析 |
| Curative effect analysis of the treatment of aged chronic subdural hematoma by drilling and drainage combined with hyperbaric oxygen |
| 投稿时间：2018-05-24 |
| DOI：10.3969/J.issn.1672-6790.2018.06.020 |
| 中文关键词: 血肿,硬膜下,慢性 引流术 高压氧 治疗结果 |
| 英文关键词: Hematoma,subdural,chronic Drainage Hyperbaric oxygenation Treatment outcome 〖FL |
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| 中文摘要: |
| 目的 探讨钻孔引流术联合高压氧治疗老年性慢性硬膜下血肿的临床疗效。方法 回顾性分析68例60岁以上老年慢性硬膜下血肿手术患者的临床资料,其中34例在常规钻孔引流和药物治疗的基础上联合高压氧治疗(治疗组),其余34例在钻孔引流术后仅进行常规的药物治疗(对照组)。结果 治疗组患者,术后残留血肿腔均于8周内消失,治愈率为100%,复发率为0；对照组34例患者,17例术后残留血肿腔于8周内基本消失,14例明显减少、症状消失,3例复发、再次手术,有效率为91.2%,复发率为8.8%,两组治愈率差异有统计学意义(P<0.05)。结论 慢性硬膜下血肿钻孔引流术后联合高压氧治疗能明显促进残留血肿吸收、促进脑复张,提高治愈率、降低复发率。 |
| 英文摘要: |
| Objective To explore the clinical effect of drilling and drainage combined with hyperbaric oxygen in the treatment of aged chronic subdural hematoma. Methods A retrospective analysis was conducted among 68 cases of aged chronic subdural hematoma patients who underwent drilling and drainage operation.Among them,34 patients received drug and hyperbaric therapy postoperation (treatment group),the other 34 cases only underwent drug treatment postoperation(control group). Results Residual hematoma cavity all disappeared in 8 weeks in the treatment group.The cure rate was 100% and recurrence rate was 0.In the control group,17 cases of postoperative residual hematoma cavity disappeared in 8 weeks,14 cases residual hematoma cavity reduced and symptoms improved significantly,3 patients was recurrence and received operation again.The cure rate was 91.2% and recurrence rate was 8.8%.There was a significant difference in cure rate in the two group (P<0.05). Conclusion Drilling and drainage combined with hyperbaric oxygen therapy for chronic subdural hematoma can accelerate significantly residual hematoma absorption and promote brain recruitment as well as shorten the course of disease. |
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