Analysis of hyperbaric oxygen comprehensive therapy on young and middle-age patients with hemorrhagic stroke

FAN Danfeng; MENG Xiang’en; HU Huijun; LI Na; PAN Shuyi

doi:10.3969/j.issn.2095-3097.2015.04.008

Abstract：Objective To discuss the hyperbaric oxygen (HBO) comprehensive therapy for young and middle-age patients with hemorrhagic stroke, to emphasis on the foundation of conventional treatment, and to sum up the clinical experiences to hemorrhagic stroke in young and middle-aged pa-tients.Methods Retrospective analysis of 56 young and middle-age patients with hemorrhagic stroke admitted in department of HBO, Navy General Hospital was made.Before and during the HBO thera-py, comprehensive treatments were given on pulmonary infection, blood pressure control, psychologi-cal state adjustment, rehabilitation exercise and so on.Meanwhile, more than 2 courses of HBO thera-pies were given to the patients.Glasgow coma scale, Lovett muscle force, clinical manifestations plus laboratory, inspection results were used to assess the improvement of consciousness, muscle force and pulmonary infection respectively.Results All the patients were successfully subjected to HBO thera-pies.The improvement rate of disturbance of consciousness was 86.2%, and the GCS after treatment was significantly higher than that before treatment (P<0.05).The improvement rate of limbs dys-function 88.9%, and the Lovett muscle force was significantly improved after treatment compared with that before treatment (P<0.05).The total effective rate of pulmonay infection was 100%, and 82.5% patients receiving tracheotomy were decannulated successfully.100% of patients with hyper-tension got the goal of pressure control, and no complications occurred during the treatements.Con-clusion With the foundation of conventional treatment, HBO therapy could make the satisfactory progress in the treatment of young and middle-age patients with hemorrhagic stroke.It should be on the basis of conventional treatment.All of the infection control, blood pressure stable, rehabilitation and psychological counseling provide the opportunities and create the conditions for the recovery of nerve injury.