高压氧综合治疗危重症患者146例报道  

Hyperbaric oxygen therapy in 146 patients with critical illness

作　　者：王宏隽[1] 陈雪林[1] 张晓菁[1] 王晓雯[1] 尹娜[1] 陈玲珍[1] 

机构地区：[1]南方医科大学珠江医院高压氧科,广州510282

出　　处：《中华神经医学杂志》2015年第12期1278-1281,共4页Chinese Journal of Neuromedicine

摘　　要：目的总结高压氧综合治疗对危重症患者的疗效及相关注意事项。方法收集南方医科大学珠江医院高压氧科自2009年1月至2013年12月进行高压氧综合治疗的146例危重患者的临床资料，分析高压氧疗效与不同疾病、高压氧介入时间的关系，同时总结安全有效地进行高压氧治疗的方法和措施。结果本组危重症患者采用高压氧综合治疗的有效率为73．97％．治愈率为32．19％。治愈的患者介入时间在30d以内（占73．34％）的明显多于超过30d（占27．66％）的患者；且患者治愈需要的疗次明显少于超过30d的患者。不同病种患者之间的治愈率无明显区别。结论高压氧治疗对各种危重症患者疗效肯定。高压氧早期介入治愈率高且需要的疗次少．对晚期介入的患者须坚持长疗程的治疗才能取得满意的疗效。同时针对病情复杂的危重症患者，如何做到安全有效地治疗亦是关键。Objective To summarize the therapeutic effects of combined hyperbaric oxygen on treatment of critical ill patients and the relevant problems to attention. Methods One hundred and forty-six critical ill patients, admitted to our hospital from January 2009 and December 2013, were chosen in our study; the relations of hyperbaric oxygen efficacy with different diseases and intervention times were analyzed. Methods and measures of safe and effective treatments for hyperbaric oxygen were summarized. Results The critical ill patients were treated with hyperbaric oxygen, with an effective rate of 73.97% and a cure rate of 32.19%. The percentage of intervention time for cured patients within 30 days （73.34%） was obviously higher than that of more than 30 days （27.66%）; and the hyperbaric oxygen times in patients with early treatment （less than 30 days） was obviously less than that in patients with delayed treatment （more than 30 days）. There was no obvious difference between different diseases. Conclusions Hyperbaric oxygen therapy is effective for all kinds of critical ill patients. The cure rate is high and the treatment times are less when early intervention is applied. The patients with delayed intervention should insist on the long course of treatment so as to achieve satisfactory effect. And, it is the key to make the safe and effective treatments for patients with complicated diseases.

关 键 词：高压氧综合治疗 危重症 心肺复苏 

分 类 号：R459.7[医药卫生—急诊医学]