Maganin iskar oxygen na Hyperbaric yana inganta ayyukan neurocognitive na marasa lafiya bayan bugun jini - nazarin baya-bayan nan

Bayani:

Nazarin da aka yi a baya sun nuna cewa maganin oxygen na hyperbaric (HBOT) na iya inganta ayyukan motsa jiki da kuma tunawa da marasa lafiya bayan bugun jini a matakin da ba a saba gani ba.

Manufa:

Manufar wannan binciken ita ce a tantance tasirin HBOT akan ayyukan fahimta gabaɗaya na marasa lafiya bayan bugun jini a matakin da ba a saba gani ba. An binciki yanayi, nau'in da wurin bugun jini a matsayin masu iya gyarawa.

Hanyoyi:

An gudanar da wani bincike na baya-bayan nan kan marasa lafiya da aka yi wa magani da HBOT saboda bugun jini na yau da kullun (> watanni 3) tsakanin 2008-2018. An yi wa mahalarta magani a cikin ɗakin hyperbaric mai wurare da yawa tare da waɗannan ka'idoji: zaman 40 zuwa 60 na yau da kullun, kwana 5 a mako, kowane zaman ya haɗa da minti 90 na iskar oxygen 100% a ATA 2 tare da birki na iska na mintuna 5 a kowane minti 20. An bayyana ingantattun ci gaba na asibiti (CSI) a matsayin > 0.5 daidaitaccen karkacewa (SD).

Sakamako:

Binciken ya haɗa da marasa lafiya 162 (75.3% maza) waɗanda ke da matsakaicin shekaru 60.75±12.91. Daga cikinsu, 77 (47.53%) sun sami bugun zuciya, 87 (53.7%) sun sami bugun zuciya a gefen hagu kuma 121 sun sami bugun zuciya mai kama da na ischemic (74.6%).
HBOT ya haifar da ƙaruwa mai yawa a duk sassan aikin fahimta (p < 0.05), tare da kashi 86% na waɗanda suka kamu da bugun jini sun sami CSI. Babu wani bambanci mai mahimmanci bayan HBOT na bugun zuciya idan aka kwatanta da bugun jini na sub-cortical (p > 0.05). Ciwon jini ya sami ci gaba mai mahimmanci a cikin saurin sarrafa bayanai bayan HBOT (p < 0.05). Ciwon hagu na hagu ya sami ƙaruwa mafi girma a cikin yankin motsi (p < 0.05). A duk sassan fahimta, aikin fahimta na asali babban mai hasashen CSI ne (p < 0.05), yayin da nau'in bugun jini, wurin da gefen ba su kasance masu hasashen mahimmanci ba.

Kammalawa:

HBOT yana haifar da ci gaba mai mahimmanci a duk fannoni na fahimta har ma a ƙarshen matakin da ba a saba gani ba. Ya kamata a zaɓi marasa lafiya bayan bugun jini don HBOT bisa ga nazarin aiki da sakamakon fahimta na asali maimakon nau'in bugun jini, wurin ko gefen rauni.