早期高压氧综合治疗对中暑昏迷患者的作用  

Curative Effects of Early Hyperbaric Oxygen Integrated Therapy on Coma Patients Due to Heatstroke

作　　者：田家林[1] 张禹[2] 杨晨[2] 孟祥恩[2] 

机构地区：[1]广州军区武汉总医院康复理疗科,武汉430070 [2]海军总医院高压氧科,北京100037

出　　处：《中国康复》2010年第2期110-111,共2页Chinese Journal of Rehabilitation

摘　　要：目的:观察早期高压氧(HBO)治疗中暑昏迷患者的疗效。方法:52例中暑昏迷患者分为HBO组和对照组各26例,均给予常规内科治疗,HBO组同时配合HBO治疗。以哥拉斯哥昏迷量表(GCS)评分、清醒率和清醒时间作指标,评定治疗效果。结果:治疗5d后,2组患者GCS评分与治疗前比较均有提高(均P<0.01);HBO组患者的清醒率明显高于对照组,清醒时间早于对照组(均P<0.01)。结论:早期用0.2MPaHBO治疗能显著改善中暑昏迷患者的脑功能,加速苏醒,对进一步促进患者功能恢复具有重要意义。Objective：To explore the curative effects of early hyperbaric oxygen integrated therapy on coma patients due to heatstroke.Methods：Fifty-two patients with coma due to heatstroke were divided into observation group（n=26）and control group（n=26）.The subjects in control group were subjected to routine internal medicine treatment,while those in observation group,besides above treatments,received hyperbaric oxygen treatment.The GCS score,the recovery rate and the recovery time were used as the indexes to assess the therapeutic effects.Results：After treatment for 5 days,the scores of GCS in both observation and control groups were increased（P0.01）.After treatment for 7 days,the recovery rate was higher and the recovery time was shorter in observation group than in control group with the difference being statistically significant（P0.01）.Conclusion：Early hyperbaric oxygen treatments can obviously improve cerebral function of coma patients due to heatstroke at 0.2 MPa.It can effectively help patients regain consciousness.

关 键 词：中暑 昏迷 高压氧 

分 类 号：R594.12[医药卫生—内科学]