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Effects of hyperbaric oxygen on brainstem auditory evoked potential and circulatory kinetics in patients with post traumatic brain syndrome
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NAUTICAL MEDICINE AND HYPERBARIC MEDICINE
- Issue:
- 5
- DOI:
- 10.3760/cma.j.issn.1009-6906.2007.05.004
- Key Word:
- 脑外伤后综合征;高压氧;脑干听觉诱发电位;循环动力学
Abstract： 目的 探讨高压氧(HBO)综合疗法对脑外伤后综合征(post traumatic brain syndrome,PTBS)患者的疗效,评价脑干听觉诱发电位(brainstem auditory evoked potential,BAEP)和脑血管功能检测(cerebral vascular function determination,CVD)与临床症状的关系.方法 43例PTBS患者分为两组:HBO治疗+常规治疗组(HBO组,n=22)和常规治疗组(n=21).治疗前后对BAEP、CVD进行检测,并与性别、年龄相匹配的健康者对比.结果 BAEP主要异常为Ⅰ、Ⅲ、V波潜伏期(PL)延长或Ⅰ-Ⅲ、Ⅲ-V、Ⅰ-V峰间潜伏期(IPL)延长,异常率为59.5%,HBO组治疗后与治疗前相比,差异有统计学意义(P＜0.05);常规治疗组治疗后与治疗前相比,差异无统计学意义(P＞0.05).CVD主要异常为血管外周阻力(R)和动态阻力(DR)升高,HBO组治疗后与治疗前相比,差异有统计学意义(P＜0.01);与常规治疗组相比,差异也有统计学意义(P＜0.05).结论 HBO综合疗法对PTBS患者的临床恢复有积极的作用,BAEP和CVD的检测结果可为临床诊断提供一定的依据.
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