早期高压氧对高血压脑出血后抑郁患者的影响

Therapeutic effect of early hyperbaric oxygen on hypertensive intracerebral hemorrhage patients with depression

目的探讨早期高压氧治疗对高血压脑出血后抑郁患者的影响。方法将2018年5月~2019年5月在我院就诊的高血压脑出血后抑郁患者60例随机分为基础性治疗组(30例)和基础性治疗联合早期高压氧治疗组(早期高压氧治疗组,30例)。比较两组患者治疗后的神经功能、认知功能、运动功能和情绪状况。结果两组患者治疗后的NIHSS评分、HAMD评分均显著低于治疗前(P<0.05),MOCA评分、FM评分均显著高于治疗前(P<0.05);而且治疗后早期高压氧治疗组患者的NIHSS评分、HAMD评分均显著低于基础性治疗组(P<0.05),MOCA评分、FM评分均显著高于基础性治疗组(P<0.05)。早期高压氧治疗组患者治疗的总有效率80.0%,显著高于基础性治疗组60.0%(P<0.05)。结论早期高压氧治疗高血压脑出血后抑郁患者疗效显著,能够有效改善患者预后。

Objective To investigate the effect of early hyperbaric oxygen on hypertensive intracerebral hemorrhage patients with depression. Methods 60 cases of hypertensive intracerebral hemorrhage patients with depression in our hospital from May 2018 to May 2019 were randomly divided into two groups :the patients in basic treatment group(30 cases)were treated by basic treatment,while the patients in early hyperbaric oxygen treatment group(30 cases)were treated by basic treatment combined with early hyperbaric oxygen treatment. Results After treatment,the NIHSS scores and HAMD scores of the two groups were significantly lower than those before treatment(P< 0.05),the MOCA scores and FM scores were significantly higher than those before treatment(P< 0.05);After treatment,The NIHSS score and HAMD score in the early hyperbaric oxygen treatment group were significantly lower than those in basic treatment group(P< 0.05),the MOCA score and FM score in the early hyperbaric oxygen treatment group were significantly higher than the basic treatment group(P< 0.05). The total effective rate of the early hyperbaric oxygen treatment group was 80.0%,which was significantly higher than that(60.0%)in the basic treatment group(P< 0.05). Conclusion Early hyperbaric oxygen is effective in the treatment of hypertensive intracerebral hemorrhage patients with depression,and can effectively improve the prognosis of patients.