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Hyperbaric oxygen treatment of spinal fractures with spinal cord injury care
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Hyperbaric oxygen treatment of spinal fractures with spinal cord injury care
[Keywords:] Hyperbaric oxygen spine fracture with spinal cord injury care
In our hospital from 1999 to 2005 pairs of thoracic and lumbar fracture with spinal cord injury and paraplegia in patients with postoperative hyperbaric oxygen therapy, and achieved good results. These are as follows.
1 Materials and Methods
1.1 Clinical data
A total of 49 cases of this group of patients, including 34 cases of male and 15 female, aged 18 to 52 years, mean 35 years old, the injured parts T10 5 Li, T11 6 Li, T12 10 Li, L1 20 Li, L2 8 cases; clinical manifestations for back pain, lower extremity sensory-motor impairment and toilet dysfunction, 12 ~ 36h after injury within the surgery. After 29 patients were randomly divided into treatment group and control group, 20 cases in both groups with conventional drug treatment.
1.2 Treatment
After hyperbaric oxygen therapy treatment group, using homemade medium-sized medical oxygen chamber, treatment pressure 0.22mPa, wearing oxygen mask suction 60min, the middle of intermittent suction air 5 min, plus decompression of 20 ~ 30 min, 1 time / day, 10 days for a course of treatment, 1 ~ 2 courses of treatment.
1.3 Efficacy Evaluation
Paraplegia modified Barthel index assessed: degree of self-care activities of daily living to determine the degree of self-care activities of daily living that is 100 degrees completely, some self-care 80 to 100 points, wheelchair-assisted self-care or in part, 35 ~ 80 minutes on the bed totally self-care or basic auxiliary 0 ~ 35.
2 Results
Treatment group, 10 cases of complete self-care, some self-care in 12 cases, part of the auxiliary in 5 cases, complete support in 2 cases, good rate of 75%; control group, 2 cases of complete self-care, some self-care in 5 cases, some auxiliary 7 cases, complete support in 6 cases, Good rate of 35%. Reposted elsewhere in the paper for free download
3 Nursi
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