氦氖激光血管内照射对高原肺水肿患者血流动力学的影响  

EFFECTS OF INTRAVASCULAR LASER IRRADIATION OF BLOOD (ILIB) ON HEMODYNAMICS IN PATIENTS WITH HIGH ALTITUDE PULMONARY EDEMA (HAPE)

作　　者：王伟[1] 张西洲[1] 曹荣成[1] 吴桂龙[1] 陈秀山[1] 崔建华[1] 

机构地区：[1]新疆解放军第18医院,844900

出　　处：《高原医学杂志》2000年第1期13-15,共3页Journal of High Altitude Medicine

摘　　要：观察氦氖激光血管内照射疗法 (ILIB)对高原肺水肿患者血流动力学的影响 ;方法 :2 4例高原肺水肿患者 ,随机分为两组 ,常规治疗组 (12例 )接受吸氧、静脉注射速尿、氨茶碱、地塞米松 ,口服硝苯吡啶 ;ILIB组 (12例 )在常规治疗的基础上经肘正中静脉每日照射一次 ,每次 90分钟 ,平均治疗 1～ 4次 ,两组分别在治疗前及治疗 90分钟时用XG -Ⅲ型血液循环功能自动测试仪检测血流动力学 ;结果 :常规治疗组两次检测结果差异不显著 ,ILIB组治疗后P、η降低显著 (P <0 .0 5 ) ;TPR、AR、ALT、mAP、PAWP降低及BV、SV增高非常显著 (P <0 .0 1或P <0 .0 0 1) ;结论 :ILIB对高原肺水肿患者的血流动力学有良好的调节作用。To study the effects of ILIB on hemodynamics in patients with HAPE.Methods:24 patients with HAPE were enrolled,12 were assigned to the general theropy group A and 12 to the general theropy ILIB group viz Ne-He ILIB,qd,90 minuts/time,1～4 time avarage.Index of hemodynamiscs in ILIB group were examed before ane after ILIB.Results:Level of P and η were decreased significantly(P<0.05),level of TPR,AR,ALT,mAP and PAMP lowed,the level of BV and SV increased remarkably(P<0.01 or P<0.001).Conclusions:There is a regulatory effect of hemodynamics by ILIB in treatment of HAPE.

关 键 词：高原肺水肿 氦氖激光 血流动力学 疗效 HAPE 

分 类 号：R454.2[医药卫生—治疗学]