Hoʻomaikaʻi ka Hyperbaric oxygen therapy i nā hana neurocognitive o nā maʻi post-stroke - kahi loiloi retrospective

Ka hope:

Ua hōʻike ʻia nā haʻawina mua e hiki i ka hyperbaric oxygen therapy (HBOT) ke hoʻomaikaʻi i nā hana kaʻa a me ka hoʻomanaʻo ʻana o nā maʻi post-stroke i ka wā maʻi.

Pahuhopu:

ʻO ka pahuhopu o kēia haʻawina ʻo ia ka loiloi i nā hopena o ka HBOT ma nā hana cognitive holoʻokoʻa o nā mea maʻi post-stroke i ka wā maʻi. Ua noiʻi ʻia ke ʻano, ke ʻano a me ka wahi o ka hahau ʻana e like me nā mea hoʻololi.

Nā hana:

Ua mālama ʻia kahi loiloi retrospective i nā maʻi i mālama ʻia me HBOT no ka maʻi maʻi maʻi (> 3 mau mahina) ma waena o 2008-2018. Ua mālama ʻia nā mea komo i loko o kahi keʻena hyperbaric multi-place me kēia mau protocols: 40 a 60 mau lā i kēlā me kēia lā, 5 mau lā i kēlā me kēia pule, ʻo kēlā me kēia kau he 90 min o 100% oxygen ma 2 ATA me 5 min air brakes i kēlā me kēia 20 mau minuke. Ua wehewehe ʻia nā hoʻomaikaʻi koʻikoʻi (CSI) ma ke ʻano he> 0.5 maʻamau deviation (SD).

Nā hualoaʻa:

ʻO ke aʻo ʻana he 162 mau maʻi (75.3% kāne) me ka makahiki maʻamau o 60.75±12.91. ʻO lākou, 77 (47.53%) i loaʻa i nā maʻi cortical, 87 (53.7%) i loaʻa i ka hemisphere hema a ʻo 121 i loaʻa i nā maʻi ischemic (74.6%).
Hoʻokomo ʻo HBOT i ka piʻi nui ʻana i nā kikowaena hana cognitive (p <0.05), me 86% o ka poʻe i hōʻeha ʻia e loaʻa iā CSI. ʻAʻohe ʻokoʻa koʻikoʻi ma hope o ka HBOT o nā maʻi cortical i hoʻohālikelike ʻia me nā maʻi sub-cortical (p> 0.05). ʻOi aku ka maikaʻi o ka maʻi hemorrhagic i ka wikiwiki o ka hoʻoponopono ʻike ma hope o ka HBOT (p <0.05). Ua piʻi aʻe ka piʻi ʻana o nā hahau hemisphere hema (p <0.05). Ma nā kāʻei kapu cognitive a pau, ʻo ka baseline cognitive function he mea wānana koʻikoʻi o CSI (p <0.05), ʻoiai ʻo ke ʻano o ka hahau, kahi a me ka ʻaoʻao ʻaʻole ia he mea wānana nui.

Nā hopena:

Hoʻoulu ʻo HBOT i nā hoʻomaikaʻi koʻikoʻi i nā domain cognitive āpau a hiki i ka wā maʻamau. ʻO ke koho ʻana i nā maʻi ma hope o ka hahau ʻana no ka HBOT pono e hoʻokumu ʻia ma ka loiloi hana a me nā helu cognitive baseline ma mua o ke ʻano o ka hahau, wahi a i ʻole ʻaoʻao o ka lesion.