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高压氧治疗对脑复苏后神经保护及恢复的影响。

The effects of hyperbaric oxygen therapy on neuroprotection and recovery after brain resuscitation.

作者信息

Li Di, He Xiaoqin, Li Yan, Wu Shubiao, Liu Jianhui

机构信息

Emergency Department, Affiliated Hospital of Hebei Engineering University, Handan, China.

Department of Laboratory, Weihai Municipal Hospital, Weihai, China.

出版信息

Int J Neurosci. 2024 May 13:1-7. doi: 10.1080/00207454.2024.2346172.

Abstract

OBJECTIVE

Analyze the impact of hyperbaric oxygen therapy on neuroprotection and recovery post severe traumatic brain injury (sTBI) resuscitation.

METHODS

Retrospective analysis of clinical data from 83 sTBI patients admitted between January 2022 to January 2024. Patients were divided into control ( = 41) and observation ( = 42) groups based on treatment received. Control received standard therapy, while the observation group received hyperbaric oxygen therapy. Effects on clinical outcomes, neuroinjury markers (S100β, GFAP, UCH-L1, NSE), neurotrophic factors (NGF, BDNF), neurological function indicators (NIHSS, CSS), and adverse reactions were compared.

RESULTS

The observation group showed a higher total effective rate (80.95%) compared to control (60.98%) ( < 0.05). Neuroinjury markers decreased post-treatment in both groups, with the observation group lower ( < 0.05). NGF and BDNF levels increased post-treatment in both groups, with the observation group higher ( < 0.05). NIHSS and CSS scores decreased post-treatment in both groups, with the observation group lower ( < 0.05). No significant difference in adverse reactions between groups ( > 0.05).

CONCLUSION

Hyperbaric oxygen therapy effectively treats sTBI by improving brain resuscitation success, reducing neuroinjury factors, enhancing neurotrophic factors, and promoting neurological function recovery, without increasing adverse reaction risk.

摘要

目的

分析高压氧治疗对重度创伤性脑损伤(sTBI)复苏后神经保护和恢复的影响。

方法

回顾性分析2022年1月至2024年1月收治的83例sTBI患者的临床资料。根据接受的治疗将患者分为对照组(n = 41)和观察组(n = 42)。对照组接受标准治疗,而观察组接受高压氧治疗。比较两组对临床结局、神经损伤标志物(S100β、GFAP、UCH-L1、NSE)、神经营养因子(NGF、BDNF)、神经功能指标(NIHSS、CSS)的影响以及不良反应。

结果

观察组的总有效率(80.95%)高于对照组(60.98%)(P<0.05)。两组治疗后神经损伤标志物均下降,观察组更低(P<0.05)。两组治疗后NGF和BDNF水平均升高,观察组更高(P<0.05)。两组治疗后NIHSS和CSS评分均下降,观察组更低(P<0.05)。两组间不良反应无显著差异(P>0.05)。

结论

高压氧治疗可通过提高脑复苏成功率、降低神经损伤因子、增强神经营养因子及促进神经功能恢复有效治疗sTBI,且不增加不良反应风险。

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