Clinical observation of different courses of hyperbaric oxygen in the treatment of spinal cord injury
10.3969/j.issn.1006-5725.2018.09.016
- VernacularTitle:不同疗程高压氧治疗脊髓损伤的临床观察
- Author:
Dantong SHEN
1
;
Jing GU
;
Shuilin YE
;
Cheng ZHANG
;
Huai HUANG
;
Wei ZHAO
Author Information
1. 广州军区广州总医院神经医学专科医院神经康复二科 广州 510010
- Keywords:
spinal cord injuries;
hyperbaric oxygenation;
course;
evaluation
- From:
The Journal of Practical Medicine
2018;34(9):1472-1475,1494
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relation between course and effect of hyperbaric oxygen therapy on patients with spinal cord injuries. Methods The retrospective study of 147 patients with spinal cord injuries were reviewed and on the basis of comprehensive treatment the control group was not treated with hyperbaric oxygen (NHBO group,39 cases),whereas Hyperbaric oxygen treatment group(HBO group,108 cases)were treated with hyperbaric oxygen therapy. According to courses of HBO treatment ,from short term to long term ,the HBO group was divided into 3 subgroups,HBO1,HBO2 and HBO3 subgroup. Evaluation based on the result all selected patients assessed on the six months after the date of surgery. Results There was no significant difference in baseline data between the NHBO group and the HBO group and the overall effectiveness of the HBO group was better than the NHBO group(P<0.01). The efficacy of HBO2 and HBO3 subgroup was better than that of HBO1 subgroup. From the perspective of spinal cord function before and after treatment ,the efficacy of the HBO group was better than that of the NHBO group(P < 0.05).The efficacy of HBO2 and HBO3 subgroup was superior to that of HBO1 subgroup (P < 0.05). However there was no significant difference in total effective rate and spinal cord score between the HBO2 and the HBO3 subgroups. Conclusions Hyperbaric oxygen therapy is effective in the treatment of spinal cord injuries. The treatment for 3~4 courses play the best therapeutic effect.