BACKGROUND & AIMS:
:To investigate whether Hyperbaric Oxygen Therapy (HBO2) could improve neurologic deficits and regional cerebral blood flow (rCBF) in chronic traumatic brain injuries (TBI), the authors employed a nonrandomized control pilot trial. Five subjects, at least three years post head injury, received HBO2. Five head injured controls (HIC) were matched for age, sex, and type of injury. Five healthy subjects served as normal controls. Sixty-eight normal volunteers comprised a reference data bank against which to compare SPECT brain scans. HBO2 subjects received 120 HBO2 in blocks of 80 and 40 treatments with an interval five-month break. Normal controls underwent a single SPECT brain scan, HBO2, and repeat SPECT battery. TBI subjects were evaluated by neurologic, neuropsychometric, exercise testing, and pre and post study MRIs, or CT scans if MRI was contraindicated. Statistical Parametric Mapping was applied to SPECT scans for rCBF analysis. There were no significant objective changes in neurologic, neuropsychometric, exercise testing, MRIs, or rCBF. In this small pilot study, HBO2 did not effect clinical or regional cerebral blood flow improvement in TBI subjects.
背景与目标:
:为了研究高压氧疗法(HBO2)是否可以改善慢性创伤性脑损伤(TBI)中的神经功能缺损和局部脑血流量(rCBF),作者采用了非随机对照试验。五名受试者,至少在头部受伤后三年,接受了HBO2治疗。根据年龄,性别和伤害类型对五个头部受伤的对照(HIC)进行匹配。五名健康受试者作为正常对照。 68名正常志愿者组成了一个参考数据库,可以将其与SPECT脑部扫描进行比较。 HBO2受试者接受80次和40次治疗,每5个月休息一次,共接受120次HBO2。正常对照进行一次SPECT脑部扫描,HBO2,并重复SPECT电池。通过神经系统,神经心理测量,运动测试以及研究前和研究后MRI或CT扫描(如果MRI禁忌)对TBI受试者进行评估。将统计参数映射应用于SPECT扫描以进行rCBF分析。神经学,神经心理学,运动测试,MRI或rCBF没有明显的客观变化。在这项小型先导研究中,HBO2并未影响TBI受试者的临床或局部脑血流量改善。