中华航海医学与高气压医学杂志
中華航海醫學與高氣壓醫學雜誌
중화항해의학여고기압의학잡지
CHINESE JOURNAL OF NAUTICAL MEDICINE AND HYPERBARIC MEDICINE
2008年
5期
292-294
,共3页
吴家林%李丙军%黄立桂%程平
吳傢林%李丙軍%黃立桂%程平
오가림%리병군%황립계%정평
低压舱%加压呼吸%面罩%鼻咽部
低壓艙%加壓呼吸%麵罩%鼻嚥部
저압창%가압호흡%면조%비인부
Hypobaric chamber%Positive pressure breathe%Mask%Nasophrynx portion
目的 探讨低压舱内不同方式鼻咽部加压对预防耳鼻气压性损伤的效果.方法 10名健康志愿者,咽鼓管通气阻力<6.0 kPa.低压舱以20 m/s的速率由3500 m模拟海拔高度增压到地面.被试者发生"压耳"感时,经面罩进行全呼吸道加压、封闭声门鼻腔及鼻咽部加压、封闭后鼻孔全鼻腔加压,压力为6.0 kPa,使鼓室内外压力平衡.分别测面罩加压前后鼓室压.结果 志愿者经不同途径对鼻咽部加压都有良好的平衡鼓室压的作用.对面罩加压前后的鼓室压进行比较.差异有统计学意义(P<0.01).结论 当人体的环境气压增加时,经面罩对鼻咽部提供大于咽鼓管通气阻力的压力可以预防耳气压伤的发生.
目的 探討低壓艙內不同方式鼻嚥部加壓對預防耳鼻氣壓性損傷的效果.方法 10名健康誌願者,嚥鼓管通氣阻力<6.0 kPa.低壓艙以20 m/s的速率由3500 m模擬海拔高度增壓到地麵.被試者髮生"壓耳"感時,經麵罩進行全呼吸道加壓、封閉聲門鼻腔及鼻嚥部加壓、封閉後鼻孔全鼻腔加壓,壓力為6.0 kPa,使鼓室內外壓力平衡.分彆測麵罩加壓前後鼓室壓.結果 誌願者經不同途徑對鼻嚥部加壓都有良好的平衡鼓室壓的作用.對麵罩加壓前後的鼓室壓進行比較.差異有統計學意義(P<0.01).結論 噹人體的環境氣壓增加時,經麵罩對鼻嚥部提供大于嚥鼓管通氣阻力的壓力可以預防耳氣壓傷的髮生.
목적 탐토저압창내불동방식비인부가압대예방이비기압성손상적효과.방법 10명건강지원자,인고관통기조력<6.0 kPa.저압창이20 m/s적속솔유3500 m모의해발고도증압도지면.피시자발생"압이"감시,경면조진행전호흡도가압、봉폐성문비강급비인부가압、봉폐후비공전비강가압,압력위6.0 kPa,사고실내외압력평형.분별측면조가압전후고실압.결과 지원자경불동도경대비인부가압도유량호적평형고실압적작용.대면조가압전후적고실압진행비교.차이유통계학의의(P<0.01).결론 당인체적배경기압증가시,경면조대비인부제공대우인고관통기조력적압력가이예방이기압상적발생.
Objective To explore effects of the nasopbrenx portion compression using different ways in hypobaric chamber on barotitis. Methods Ten healthy volunteer, whose ventilative resistance of the eustachian tubes were lower than 6 kPa were selected. The pressure in hypobaric chamber was pressurized from 3500 m to ground by 20 m/s. When the volunteer felt the malaise of ear, 6.0 kPa pressure was applied by mask in order to balance the tympanic cavity pressure. At that time, volunteer were pressurized in all respiratory tract or pressurized in all nasal cavity that the choanae were closed or pressurized in the nasal cavity and nasopharynx portion by closing the glottises. Pressure of the tympanic cavity was compared before and after compression. Results The volunteer all had the good balanced drum chamber pressure function after the different ways pressurized to the nasopharynx. There was a statistic difference of tympanic cavity pressure before and after compression(P<0.01). Conclusions When the environmental pressure is increased, a pressure higher than that of nasophrynx portion provided by mask can prevent from the ear barotraumas.