2014Journal of Minimally Invasive MedicineRequires access

Study on the effect of early hyperbaric oxygen therapy on cerebral edema and neural function in patients with cerebral hemorrhage after microinvasive surgery

HU Youzh

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Abstract

Objective To explore the effect of early hyperbaric oxygen therapy on cerebral edema and neural function in patients with cerebral hemorrhage after invasive surgery. Methods 80 of patients with cerebral hemorrhage after microinvasive surgery,44 cases of observation group received hyperbaric oxygen therapy for 30 d 24h after surgery if no active bleeding occurred,36 cases that were reluctant to adopt hyperbaric oxygen treatment were as control group. Nerve function defect( NIHSS) scores and the change of cerebral edema area before and different periods after treatment were observed. Results Two weeks and 4weeks after treatment,cerebral edema area decreased obviously in both groups,but the changes was more significant in the observation group. NIHSS decreased significantly 2 weeks,4 weeks,8 weeks and 12 weeks after treatment in the observation group,and 4 weeks,8 weeks and 12 weeks in the control group,and it was obviously lower in the observation group than in the control at 4 weeks,8 weeks,12 weeks after treatment( all P 0. 05). Conclusion Early hyperbaric oxygen therapy on cerebral edema and neural function in patients with cerebral hemorrhage after microinvasive surgery can apparently improve brain edema,and promote neural functional recovery.

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Objective To explore the effect of early hyperbaric oxygen therapy on cerebral edema and neural function in patients with cerebral hemorrhage after invasive surgery. Methods 80 of patients with cerebral hemorrhage after microinvasive surgery,44 cases of observation group received hyperbaric oxygen therapy for 30 d 24h after surgery if no active bleeding occurred,36 cases that were reluctant to adopt hyperbaric oxygen treatment were as control group. Nerve function defect( NIHSS) scores and the change of cerebral edema area before and different periods after treatment were observed. Results Two weeks and 4weeks after treatment,cerebral edema area decreased obviously in both groups,but the changes was more significant in the observation group. NIHSS decreased significantly 2 weeks,4 weeks,8 weeks and 12 weeks after treatment in the observation group,and 4 weeks,8 weeks and 12 weeks in the control group,and it was obviously lower in the observation group than in the control at 4 weeks,8 weeks,12 weeks after treatment( all P 0. 05). Conclusion Early hyperbaric oxygen therapy on cerebral edema and neural function in patients with cerebral hemorrhage after microinvasive surgery can apparently improve brain edema,and promote neural functional recovery.

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Available abstract

Objective To explore the effect of early hyperbaric oxygen therapy on cerebral edema and neural function in patients with cerebral hemorrhage after invasive surgery. Methods 80 of patients with cerebral hemorrhage after microinvasive surgery,44 cases of observation group received hyperbaric oxygen therapy for 30 d 24h after surgery if no active bleeding occurred,36 cases that were reluctant to adopt hyperbaric oxygen treatment were as control group. Nerve function defect( NIHSS) scores and the change of cerebral edema area before and different periods after treatment were observed. Results Two weeks and 4weeks after treatment,cerebral edema area decreased obviously in both groups,but the changes was more significant in the observation group. NIHSS decreased significantly 2 weeks,4 weeks,8 weeks and 12 weeks after treatment in the observation group,and 4 weeks,8 weeks and 12 weeks in the control group,and it was obviously lower in the observation group than in the control at 4 weeks,8 weeks,12 weeks after treatment( all P 0. 05). Conclusion Early hyperbaric oxygen therapy on cerebral edema and neural function in patients with cerebral hemorrhage after microinvasive surgery can apparently improve brain edema,and promote neural functional recovery.

Key concepts: Medicine, Hyperbaric oxygen, Cerebral edema, Anesthesia, Edema, Brain edema, Surgery

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