机构:[1]The Second Department of Neurosurgery, First Affiliated Hospital of Kunming Medical University, 295 Xichang Rd, Kunming, Yunnan 650032, China外科科室神经外科神经外一科(神经外科)昆明医科大学附属第一医院
Compelling evidence suggests the advantage of hyperbaric oxygen therapy (HBOT) in traumatic brain injury. The present meta-analysis evaluated the outcomes of HBOT in patients with traumatic brain injury (TBI). Prospective studies comparing hyperbaric oxygen therapy vs. control in patients with mild (GCS 13-15) to severe (GCS 3-8) TBI were hand-searched from medical databases using the terms "hyperbaric oxygen therapy, traumatic brain injury, and post-concussion syndrome". Glasgow coma scale (GCS) was the primary outcome, while Glasgow outcome score (GOS), overall mortality, and changes in post-traumatic stress disorder (PTSD) score, constituted the secondary outcomes. The results of eight studies (average age of patients, 23-41 years) reveal a higher post-treatment GCS score in the HBOT group (pooled difference in means = 3.13, 95 % CI 2.34-3.92, P < 0.001), in addition to greater improvement in GOS and lower mortality, as compared to the control group. However, no significant change in the PTSD score was observed. Patients undergoing hyperbaric therapy achieved significant improvement in the GCS and GOS with a lower overall mortality, suggesting its utility as a standard intensive care regimen in traumatic brain injury.
基金:
National Natural
Science Foundation of China (No. 81260182); Natural Science
Foundation of Yunnan Province (No. 2012FB036).
第一作者机构:[1]The Second Department of Neurosurgery, First Affiliated Hospital of Kunming Medical University, 295 Xichang Rd, Kunming, Yunnan 650032, China
通讯作者:
推荐引用方式(GB/T 7714):
Wang Fei,Wang Yong,Sun Tao,et al.Hyperbaric oxygen therapy for the treatment of traumatic brain injury: a meta-analysis[J].NEUROLOGICAL SCIENCES.2016,37(5):693-701.doi:10.1007/s10072-015-2460-2.
APA:
Wang, Fei,Wang, Yong,Sun, Tao&Yu, Hua-lin.(2016).Hyperbaric oxygen therapy for the treatment of traumatic brain injury: a meta-analysis.NEUROLOGICAL SCIENCES,37,(5)
MLA:
Wang, Fei,et al."Hyperbaric oxygen therapy for the treatment of traumatic brain injury: a meta-analysis".NEUROLOGICAL SCIENCES 37..5(2016):693-701