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高压氧对手术修复的周围神经损伤恢复的治疗作用

[Therapeutic effect of hyperbaric oxygen on recovery of surgically repaired peripheral nerve injury].

作者信息

Zhao D W

机构信息

Qiqihaer Raiway Central Hospital.

出版信息

Zhonghua Wai Ke Za Zhi. 1991 Feb;29(2):118-20, 143.

PMID:1864185
Abstract

114 patients with peripheral nerve injury were treated microsurgically. 54 patients with 65 nerve injuries were given hyperbaric oxygen as supplementary treatment. The excellent and good results of the 65 nerves accounted for 89.2%, but of those nerves in patients not treated with hyperbaric oxygen for 73.2% (P less than 0.05). The result was better in the hyperbaric oxygen group regardless of the repairing method used, particularly in those nerve grafting had been done (24.9, P less than 0.05). As for the time lapsed from injury to surgery. The results of fresh injuries showed no difference in either group, but hyperbaric oxygen was of much benefit to the old cases: the longer the delay the greater in difference between different groups, but better results were obtained in the hyperbaric oxygen group. The early the operation the better the result in either group.

摘要

对114例周围神经损伤患者进行了显微外科治疗。对54例患者的65条神经损伤给予高压氧辅助治疗。65条神经的优良率为89.2%,而未接受高压氧治疗患者的神经优良率为73.2%(P<0.05)。无论采用何种修复方法,高压氧组的效果均较好,尤其是在进行神经移植的患者中(24.9,P<0.05)。至于从损伤到手术的时间间隔,新鲜损伤在两组中的结果无差异,但高压氧对陈旧性病例非常有益:延迟时间越长,不同组之间的差异越大,但高压氧组的效果更好。两组中手术越早效果越好。

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