高压氧辅助治疗重症流行性乙型脑炎的疗效研究
沈金勇 刘君俊 周辉 石亚军
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【摘要】 目的 观察高压氧辅助治疗重症流行性乙型脑炎临床疗效。方法 就巴中市中心医院感染科对2007年7月至2009年10月期间确诊的64例重症流行性乙型脑炎患儿分为治疗组32例经高压氧辅助常规治疗,对照组32例常规治疗,将其疗效进行对比。
【关键字】 高压氧,重症流行性乙型脑炎
中图分类号:R512.32文献标识码:B文章编号:1671-8194(2011)01-0015-02
Effect of Adjuvant Hyperbaric Oxygen Treatment on Patients with Severe Epidemic Encephalitis B
SHEN Jin-yong, LIU Jun-jun, ZHOU Hui, SHI Ya-jun
(Department of Infectious Diseases, The Center Hospital of Bazhong, Bazhong 636000, China)
[Abstract] Objective To investigate the effect of adjuvant hyperbaric oxygen treatment on patients with severe epidemic encephalitis B. Methods 64 cases with severe epidemic encephalitis B in Department of Infectious Diseases, The Center Hospital of Bazhong from July 2007 to October 2009 were divided into treatment group and control group with 32 patients in each group. The treatment group received conventional therapy plus hyperbaric oxygen treatment. The control group received conventional therapy only.The clinical efficacies in the two groups were compared. Results The duration of coma, convulsion, fever and pathological positive signs of patients in the treatment group was significantly shorter than the control group (P<0.05), and mortality and complications decreased significantly compared with the control group. Conclusion Hyperbaric oxygen treatment on patients with severe epidemic encephalitis B in the treatment group has better clinical efficacy than the control group. hyperbaric oxygen treatment is recommended for patients with severe epidemic encephalitis B.
流行性乙型脑炎经虫媒传播,流行夏秋季节,临床表现急性起病,发热及不同程度的中枢神经系统病变为主要症状。重症流行性乙型脑炎(指流行性乙型脑炎的重型和极重型)常遗留后遗症或危及生命。为了提高救治率,巴中市中心医院感染科对2007年7月至2009年10月期间确诊的32例重症流行性乙型脑炎患儿,在常规治疗的基础上给予高压氧辅助治疗,并与常规治疗的32例重症流行性乙型脑炎患儿的疗效进行比较,疗效显著,现在报道如下。