Ukwelashwa kwe-oxygen ye-hyperbaric kuthuthukisa imisebenzi ye-neurocognitive yeziguli zangemva kokushaywa unhlangothi - ukuhlaziya okubuyiswayo

Ingemuva:

Ucwaningo lwangaphambilini lubonise ukuthi i-hyperbaric oxygen therapy (HBOT) ingathuthukisa imisebenzi yemoto kanye nenkumbulo yeziguli zangemva kokushaywa unhlangothi esigabeni esingapheli.

Inhloso:

Inhloso yalolu cwaningo ukuhlola imiphumela ye-HBOT kuyo yonke imisebenzi yengqondo yeziguli zangemva kokushaywa unhlangothi esigabeni esingamahlalakhona.Imvelo, uhlobo kanye nendawo ye-stroke kwaphenywa njengezilungisi ezingase zibe khona.

Izindlela:

Ukuhlaziywa kwe-retrospective kwenziwa ezigulini eziphathwe nge-HBOT ye-stroke engapheli (> izinyanga ezingu-3) phakathi kuka-2008-2018.Ababambiqhaza baphathwa ekamelweni le-hyperbaric enezindawo eziningi ezinamaphrothokholi alandelayo: I-40 kuya ku-60 izikhathi zansuku zonke, izinsuku ezingu-5 ngesonto, iseshini ngayinye yayihlanganisa i-90 min ye-100% oxygen ku-2 ATA ene-5 min air brakes njalo ngemizuzu ye-20.Ukuthuthukiswa okubalulekile komtholampilo (CSI) kuchazwe njengokuthi > ukuchezuka okujwayelekile okungu-0.5 (SD).

Imiphumela:

Ucwaningo lwaluhlanganisa iziguli ze-162 (abesilisa abangu-75.3%) abaneminyaka yobudala engu-60.75±12.91.Kuzo, i-77 (47.53%) ine-cortical strokes, i-87 (53.7%) imivimbo itholakala engxenyeni yesokunxele futhi i-121 yahlaselwa yi-ischemic stroke (74.6%).
I-HBOT yenze ukwanda okuphawulekayo kuzo zonke izizinda zokusebenza kwengqondo (p <0.05), ne-86% yezisulu ze-stroke ezizuza i-CSI.Kwakungekho mehluko obalulekile we-post-HBOT ye-cortical stroke uma kuqhathaniswa nokushaywa kwe-sub-cortical (p> 0.05).Imivimbo ye-Hemorrhagic ibe nokuthuthuka okuphezulu kakhulu kwejubane lokucubungula ulwazi ngemuva kwe-HBOT (p <0.05).Imivimbo ye-hemisphere yesokunxele ibe nokwanda okuphezulu kwesizinda semoto (p <0.05).Kuzo zonke izizinda zokuqonda, umsebenzi oyisisekelo wokuqonda wawuyisibikezelo esibalulekile se-CSI (p <0.05), kuyilapho uhlobo lwe-stroke, indawo kanye nohlangothi kwakungezona izibikezelo ezibalulekile.

Iziphetho:

I-HBOT yenza ukuthuthukiswa okuphawulekayo kuzo zonke izizinda zengqondo ngisho nasesiteji sesikhashana esingapheli.Ukukhethwa kweziguli zangemuva kokushaywa unhlangothi ze-HBOT kufanele kusekelwe ekuhlaziyweni kokusebenza kanye nezibalo eziyisisekelo zokuqonda esikhundleni sohlobo lwe-stroke, indawo noma uhlangothi lwesilonda.