CAJ | 학술논문

目的探讨重型颅脑损伤气管切开术后肺部感染的高压氧(HBO)和常压下吸氧管供氧治疗的近期治疗效果.方法选取符合入选标准的重型颅脑损伤气管切开术后肺部感染患者60例,按随机分层设计分为高压氧组和常规组,每组30例,两组患者均给予吸氧、降颅压、护脑、手术、抗生素及对症支持治疗.常规组在常压下经气管套管采用一次性吸氧管给氧治疗,高压氧组采用我科自创吸氧连接装置进行高压氧治疗.观察两组患者体温、咳嗽咳痰、肺部呼吸音、白细胞总数及分类等恢复正常的时间,并进行比较.结果高压氧组体温正常、咳嗽咳痰好转、肺部呼吸音清晰、白细胞总数及分类正常的时间明显短于常规组,组间比较差异有统计学意义(P＜0.01).结论高压氧对重型颅脑损伤气管切开肺部感染患者有排痰、化痰作用,利于肺部感染的控制.
목적 탐토중형로뇌손상기관절개술후폐부감염적고압양(HBO)화상압하흡양관공양치료적근기치료효과.방법 선취부합입선표준적중형로뇌손상기관절개술후폐부감염환자60례,안수궤분층설계분위고압양조화상규조,매조30례,량조환자균급여흡양、강로압、호뇌、수술、항생소급대증지지치료.상규조재상압하경기관투관채용일차성흡양관급양치료,고압양조채용아과자창흡양련접장치진행고압양치료.관찰량조환자체온、해수해담、폐부호흡음、백세포총수급분류등회복정상적시간,병진행비교.결과 고압양조체온정상、해수해담호전、폐부호흡음청석、백세포총수급분류정상적시간명현단우상규조,조간비교차이유통계학의의(P＜0.01).결론 고압양대중형로뇌손상기관절개폐부감염환자유배담、화담작용,리우폐부감염적공제.
Objective To compare the effectiveness of hyperbaric oxygen (HBO) therapy and normal pressure oxygen inhalation for lung infection in patients with severe brain injury and tracheotomy.Methods Sixty lung infection patients with severe brain injury and tracheotomy were stratified by age and Glasgow coma scale (GCS) score into an HBO group (30) and a conventional therapy group (30).Both groups were given treatments to reduce intracranial hypertension and protect the brain,surgery,antibiotics,and symptomatic and support therapy.In the conventional group the patients received oxygen therapy at normal oxygen pressure by tracheal cannula.In the HBO group,the patients received HBO therapy through self-made oxygen devices by the authors.The body temperature,cough and expectoration,respiratory sounds and white blood cell (WBC) count were compared between the groups.Results There were statistically significant differences in body temperature,cough and expectoration,respiratory sounds and the normalized time for the count and classification of WBC between the groups.Conclusion HBO had good treatment effectiveness for excretion and expectorant in lung infection patients with severe brain injury and tracheotomy.