Clinical Observation On Patient With Insomnia After Cerebral Infarction Treated By The Hyperbaric Oxygen

Objective: The aim of this study was to observe the effect of hyperbaric oxygen therapy on insomnia after cerebral infarction.Methods:40 cases who met the inclusion criteria were divided into a test group and a control group,20 cases in each group.The control group were treated by conventional treatment.It included improving circlation,nutriting the nerve,improving brain function,psychological counseling and so on.The test group were treated with the conventional teratment and hyperbaric oxygen therapy 120 minutes each time.The hyperbaric oxygen chamber can take 20 people.The pressure is 0.2MPa.The treatment would be done once a day,five times a week for four weeks.Two groups were taken PSQI and ASI respectively before and 4 weeks after treatment.The data were analyzed by SPSS17.0 statistical software.The measuring data was expressed by mean ±standard deviation(x±s),and analyzed by T-test of independent sampler between two groups,Paired sample T-test when compared itself.Result:1.The comparison of PSQI index:The PSQI scores of two groups were both decreased after treatment,there was significant difference compared with before treatment(P<0.05),suggesting that the two groups had good effects on sleep quality in patients with insomnia after cerebral infarction.Difference between the two groups after treatment was statistically significant(P <0.05),suggesting that the different efficacy index between two groups after the treatment was statistically significant,the test group superior than the control group.2.The comparison of ecah factor of PSQI index: The scores on subjective sleep quality,sleep latency and sleep efficiency of two groups were both decreased after treatment,there was significant difference compared with beforetreatment(P<0.05),suggesting that the two groups had good effects on subjective sleep quality,sleep latency and sleep efficiency in patients with insomnia after cerebral infarction.The scores on sleep disturbances and daytime dysfunction of test group was decreased after treatment,there was significant difference compared with before treatment(P<0.05).There was no significant difference compared with before treatment(P<0.05)in the control group.This suggested that the test group had good effects on sleep disturbances and daytime dysfunction in patients with insomnia after cerebral infarction,while the control group had no improvement.3.The comparison of AIS index:The AIS scores of two groups were both decreased after treatment,there was significant difference compared with before treatment(P<0.05),suggesting that the two groups had good effects on sleep quality in patients with insomnia after cerebral infarction.Difference between the two groups after treatment was statistically significant(P <0.05),suggesting that the different efficacy index between two groups after the treatment wasstatistically significant,the test group superior than the control group.Conclusion:1.The hyperbaric oxygen therapy can reduce PSQI scores of the patients with insomnia after cerebral infarction,improving patients' sleep quality,subjective sleep quality,sleep latency,sleep continuity,habitual sleep efficiency,sleep disturbances and daytime dysfunction.2.The hyperbaric oxygen therapy can reduce AIS scores of the patients with insomnia after cerebral infarction,improving patients' sleep quality;3.The hyperbaric oxygen therapy is worth applying in teating patients with insomnia after cerebral infarction.