高压氧不同治疗方案在急性一氧化碳中毒中的临床研究.docVIP

精品论文 参考文献 高压氧不同治疗方案在急性一氧化碳中毒中的临床研究 朱红伟 朱红霞 　　（兰州市窑街煤电集团公司总医院 甘肃 兰州 730080） 　　【摘要】 目的：探讨不同高压氧治疗方案在急性中、重度一氧化碳中毒患者中的临床疗效。方法：选取我院住院治疗的急性中、重度一氧化碳中毒患者193例，随机分为两组，即治疗方案一，共100例，常规治疗+高压氧（首次3天7次疗法，后为1次/日，压力均为2.6ATA，10天1疗程）；方案二：总共93例，常规治疗+高压氧（首次3天7次疗法，后为1次/日，压力首次2.6ATA，后为2.2 ATA，10天1疗程）。结果：治疗方案一与方案二相比，治疗后的智能评分、神经功能评分及迟发型脑病的发生率明显减低，差异有统计学意义（p﹤0.05）。结论：高压氧治疗压力始终为2.6ATA，一级吸氧治疗急性中、重度一氧化碳中毒的患者，神经功能缺损明显改善，并且无迟发型脑病的发生。 　　【关键词】高压氧;方案;一氧化碳;中毒 　　【中图分类号】R45 【文献标识码】A 【文章编号】2095-1752（2015）06-0128-03 　　Clinical study of different plans of hyperbaric oxygen therapy for acute carbon monoxide poisoning 　　Zhu Hongwei, Zhu hongxia.Coal Electricity Group Company General Hospital of Lanzhou City Kiln street, Gansu Province, Lanzhou 730080, China 　　【Abstract】Objective Explore the hyperbaric oxygen therapy in patients with acute, severe carbon monoxide poison in the clinical curative effect. Methods Select our hospital treatment of patients with acute, severe carbon monoxide poisoning in 193 cases, randomly divided into two groups, namely a treatment, a total of 100 cases, conventional treatment + hyperbaric oxygen (3 days 7 times in therapy for the first time, pressure is 2.6 to 1 times/days after the ATA, 10 days as a course); Scheme 2: a total of 93 cases, conventional treatment + hyperbaric oxygen (after the first 3 days 7 times in therapy, 1 time/day pressure 2.6 ATA, for the first time after 2.2 ATA, 10 days as a course). Results A treatment compared with the second scheme, intelligence scores after treatment, the neurological function score and significantly reduce the incidence of late onset of encephalopathy, difference was statistically significant (p﹤0.05). Conclusions Hyperbaric oxygen pressure is 2.6 ATA, level of oxygen in the treatment of acute, severe carbon monoxide poisoning patients, nerve function defect, and no late onset encephalopathy. 　　【Key words】 Hyperbaric oxygen; Plan; Carbon monoxide; Poisoning 　　急性一氧化碳中毒(ACOP)是常见的生活及职业中毒之一，其