Effect of hyperbaric oxygenation on the genesis and development of traumatic subdural effusion

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Author:
TANG Xiao-Ping(Affiliated Hospital,North Sichuan University of Medical Sciences)
ZHANG Tao(Affiliated Hospital,North Sichuan University of Medical Sciences)
TANG Wen-Guo(Affiliated Hospital,North Sichuan University of Medical Sciences)
QI Jian(Affiliated Hospital,North Sichuan University of Medical Sciences)
PENG Hua(Affiliated Hospital,North Sichuan University of Medical Sciences)
DUAN Jun-Wei(Affiliated Hospital,North Sichuan University of Medical Sciences)
LUO Ren-Guo(Affiliated Hospital,North Sichuan University of Medical Sciences)
FENG Li(Affiliated Hospital,North Sichuan University of Medical Sciences)
Journal Title:
JOURNAL OF THE FOURTH MILITARY MEDICAL UNIVERSITY
Issue:
Volume 30, Issue 24, 2009
DOI:
Key Word:
hyperbaric oxygenation;traumatic subdural effusion;trepanation and drainage

Abstract: AIM:To discuss hyperbaric oxygen(HBO)for traumatic subdural effusion(TSE)genesis,development impact,as well as HBO on the TSE therapeutic effect and to analyze its mechanism.METHODS:To add up the total incidence rate of TSE after craniocerebral injury;To compare the incidence of TSE bewteen earlier HBO therapy treatment after injury(group A)and without HBO treatment(group B);To compare the clinical prognosis between HBO therapy treatment for earlier discoverable TSE (group C)and without HBO treatment(group D);To compare curative effect between trepanation and drainage+HBO therapy treatment(E group)and simple trepanation and drainage treatment(F group)for TSE of operative indication.RESULTS:The total incidence rate of TSE after craniocerebral injury is 7.35%.Its incidence rate of A group is 3.99%and that of B group is 6.90%,these two group have significant difference(P<0.01).The total effective and healing rate of C group is 90.91% and 52.12%,but that of D group is only 77.86% and 24.43%,these two group have significant difference(P<0.01).The total effective and healing rate of E group is 93.10% and 45.98%,but that of F group is 80.77% and 28.85%,these two group have significant difference(P<0.05).CONCLUSION:HBO therapy Call validly prevent the incidence of TSE and have obvious therapeutic efficacy for it,and it should be considered a conventional therapy method for TSE.

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