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Wei L, Lin C, Xue X, Jila S, Dai Y, Pan L, Wei W, Dun G, Shen Y, Zong T, Wu J, Li Y, Wu L, Xian J, Yu A. The Effect of Hemoglobin Concentration on Hyperbaric Oxygen and Non-hyperbaric Oxygen in the Treatment of Hypertensive Intracerebral Hemorrhage After Operation at the High Altitude. Front Hum Neurosci 2022; 16:834427. [PMID: 35845240 PMCID: PMC9279571 DOI: 10.3389/fnhum.2022.834427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Accepted: 05/31/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundThe prognosis of hypertensive intracerebral hemorrhage (HICH) is poor at high altitudes. The objective of this study was to explore whether hyperbaric oxygen (HBO) can improve the results of computed tomography perfusion (CTP) imaging and the neurological function of patients with HICH, and influence the hemoglobin concentration.MethodThe patients with HICH were treated with puncture and drainage. Twenty-one patients (51.22% of 41 patients in total) were treated with HBO after the operation, and the other patients received conventional treatment. CTP was performed twice, and all indices were measured. Scatter plots were used to determine the effect of hemoglobin concentration on CTP imaging. Receiver operating characteristic (ROC) curves were plotted to analyze the effects of hemoglobin concentration and hematoma volume on recovery results. The patients were followed up for 6 months.ResultsForty-one patients with HICH were treated with puncture and drainage. In total, 21 were treated with HBO after the operation, and 20 received conventional treatment as the control group. No significant differences in the CBV and CBF values of the two groups were noted before treatment. After 10 days, the values of CBV and CBF in the HBO group were significantly higher than those in the control group. A scatter diagram showed there was no significant in the HBO group, but significant correlation for the CBV and CBF values in the control group’s hematoma center and margin. The ROC curves showed that hematoma volume had an influence on prognosis of the control group. The Glasgow Coma Scale (GOS) scores of the HBO group were significantly higher than those of the control group (p < 0.05).ConclusionsHBO therapy can improve the postoperative CBV and CBF values of patients with HICH and ameliorate their prognoses. There was no significant correlation between HBO group and hemoglobin concentration on admission.
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Affiliation(s)
- Linjie Wei
- Department of Neurosurgery, PLA 956th Hospital, Linzhi, China
- *Correspondence: Linjie Wei,
| | - Chi Lin
- Department of Neurosurgery, First People’s Hospital of Honghe City, Honghe, China
| | - Xingsen Xue
- Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China
| | - Shiju Jila
- Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China
| | - Yalan Dai
- Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China
| | - Li Pan
- Medical Imaging Department, General Hospital of Tibet Military Region, Lhasa, China
| | - Wei Wei
- Department of Neurosurgery, PLA 956th Hospital, Linzhi, China
| | - Guodong Dun
- Department of Neurosurgery, PLA 956th Hospital, Linzhi, China
| | - Yong Shen
- Department of Neurosurgery, First People’s Hospital of Honghe City, Honghe, China
| | - Taoxi Zong
- Department of Neurosurgery, First People’s Hospital of Honghe City, Honghe, China
| | - Jingjing Wu
- Department of Neurosurgery, First People’s Hospital of Honghe City, Honghe, China
| | - Yafang Li
- Department of Neurosurgery, First People’s Hospital of Honghe City, Honghe, China
| | - Lixia Wu
- Department of Neurosurgery, First People’s Hospital of Honghe City, Honghe, China
| | - Jishu Xian
- Department of Neurosurgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China
| | - Anyong Yu
- Department of Emergency, Affiliated Hospital of Zunyi Medical University, Zunyi, China
- Anyong Yu,
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