Effects of Repetitive Hyperbaric Oxygen Treatment in Patients with Acute Cerebral Infarction: A Pilot Study

The role of hyperbaric oxygen therapy (HBOT) in the treatment of acute ischemic stroke is controversial. This prospective study assessed the efficacy and safety of HBOT as adjuvant treatment on 46 acute ischemic stroke in patients who did not receive thrombolytic therapy. The HBOT group (n=16) recei...

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Main Authors: Cheng-Hsin Chen, Shao-Yuan Chen, Vinchi Wang, Chao-Ching Chen, Kaw-Chen Wang, Chih-Hao Chen, Yi-Chien Liu, Kuo-Cheng Lu, Ping-Keung Yip, Wen-Ya Ma, Chuan-Chieh Liu
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/694703
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author Cheng-Hsin Chen
Shao-Yuan Chen
Vinchi Wang
Chao-Ching Chen
Kaw-Chen Wang
Chih-Hao Chen
Yi-Chien Liu
Kuo-Cheng Lu
Ping-Keung Yip
Wen-Ya Ma
Chuan-Chieh Liu
author_facet Cheng-Hsin Chen
Shao-Yuan Chen
Vinchi Wang
Chao-Ching Chen
Kaw-Chen Wang
Chih-Hao Chen
Yi-Chien Liu
Kuo-Cheng Lu
Ping-Keung Yip
Wen-Ya Ma
Chuan-Chieh Liu
author_sort Cheng-Hsin Chen
collection DOAJ
description The role of hyperbaric oxygen therapy (HBOT) in the treatment of acute ischemic stroke is controversial. This prospective study assessed the efficacy and safety of HBOT as adjuvant treatment on 46 acute ischemic stroke in patients who did not receive thrombolytic therapy. The HBOT group (n=16) received conventional medical treatment with 10 sessions of adjunctive HBOT within 3–5 days after stroke onset, while the control group (n=30) received the same treatment but without HBOT. Early (around two weeks after onset) and late (one month after onset) outcomes (National Institutes of Health Stroke Scale, NIHSS scores) and efficacy (changes of NIHSS scores) of HBOT were evaluated. The baseline clinical characteristics were similar in both groups. Both early and late outcomes of the HBOT group showed significant difference (P≤0.001). In the control group, there was only significant difference in early outcome (P=0.004). For early efficacy, there was no difference when comparing changes of NIHSS scores between the two groups (P=0.140) but there was statistically significant difference when comparing changes of NIHSS scores at one month (P≤0.001). The HBOT used in this study may be effective for patients with acute ischemic stroke and is a safe and harmless adjunctive treatment.
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spelling doaj-art-1fad7b363c9847fdb81186285948082a2025-02-03T01:10:35ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/694703694703Effects of Repetitive Hyperbaric Oxygen Treatment in Patients with Acute Cerebral Infarction: A Pilot StudyCheng-Hsin Chen0Shao-Yuan Chen1Vinchi Wang2Chao-Ching Chen3Kaw-Chen Wang4Chih-Hao Chen5Yi-Chien Liu6Kuo-Cheng Lu7Ping-Keung Yip8Wen-Ya Ma9Chuan-Chieh Liu10Department of Internal Medicine, Cardinal Tien Hospital, New Taipei City, TaiwanDepartment of Neurology, Cardinal Tein Hospital, New Taipei City, TaiwanDepartment of Neurology, Cardinal Tein Hospital, New Taipei City, TaiwanDepartment of Neurology, Cardinal Tein Hospital, New Taipei City, TaiwanDepartment of Neurology, Cardinal Tein Hospital, New Taipei City, TaiwanDepartment of Neurology, Cardinal Tein Hospital, New Taipei City, TaiwanDepartment of Neurology, Cardinal Tein Hospital, New Taipei City, TaiwanDepartment of Internal Medicine, Cardinal Tien Hospital, New Taipei City, TaiwanDepartment of Neurology, Cardinal Tein Hospital, New Taipei City, TaiwanDepartment of Internal Medicine, Cardinal Tien Hospital, New Taipei City, TaiwanDepartment of Internal Medicine, Cardinal Tien Hospital, New Taipei City, TaiwanThe role of hyperbaric oxygen therapy (HBOT) in the treatment of acute ischemic stroke is controversial. This prospective study assessed the efficacy and safety of HBOT as adjuvant treatment on 46 acute ischemic stroke in patients who did not receive thrombolytic therapy. The HBOT group (n=16) received conventional medical treatment with 10 sessions of adjunctive HBOT within 3–5 days after stroke onset, while the control group (n=30) received the same treatment but without HBOT. Early (around two weeks after onset) and late (one month after onset) outcomes (National Institutes of Health Stroke Scale, NIHSS scores) and efficacy (changes of NIHSS scores) of HBOT were evaluated. The baseline clinical characteristics were similar in both groups. Both early and late outcomes of the HBOT group showed significant difference (P≤0.001). In the control group, there was only significant difference in early outcome (P=0.004). For early efficacy, there was no difference when comparing changes of NIHSS scores between the two groups (P=0.140) but there was statistically significant difference when comparing changes of NIHSS scores at one month (P≤0.001). The HBOT used in this study may be effective for patients with acute ischemic stroke and is a safe and harmless adjunctive treatment.http://dx.doi.org/10.1100/2012/694703
spellingShingle Cheng-Hsin Chen
Shao-Yuan Chen
Vinchi Wang
Chao-Ching Chen
Kaw-Chen Wang
Chih-Hao Chen
Yi-Chien Liu
Kuo-Cheng Lu
Ping-Keung Yip
Wen-Ya Ma
Chuan-Chieh Liu
Effects of Repetitive Hyperbaric Oxygen Treatment in Patients with Acute Cerebral Infarction: A Pilot Study
The Scientific World Journal
title Effects of Repetitive Hyperbaric Oxygen Treatment in Patients with Acute Cerebral Infarction: A Pilot Study
title_full Effects of Repetitive Hyperbaric Oxygen Treatment in Patients with Acute Cerebral Infarction: A Pilot Study
title_fullStr Effects of Repetitive Hyperbaric Oxygen Treatment in Patients with Acute Cerebral Infarction: A Pilot Study
title_full_unstemmed Effects of Repetitive Hyperbaric Oxygen Treatment in Patients with Acute Cerebral Infarction: A Pilot Study
title_short Effects of Repetitive Hyperbaric Oxygen Treatment in Patients with Acute Cerebral Infarction: A Pilot Study
title_sort effects of repetitive hyperbaric oxygen treatment in patients with acute cerebral infarction a pilot study
url http://dx.doi.org/10.1100/2012/694703
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