CAJ | 학술논문

目的：探讨高压氧治疗时机对一氧化碳中毒预后的影响。方法：2011年3月-2014年2月收治一氧化碳中毒患者180例，根据患者实际治疗时间将这些患者分为两组，即中毒后12 h内接受高压氧治疗组(A组)，中毒后12 h后接受高压氧治疗组(B组)，每组90例。分别在患者中毒后12 h之内和12 h后给予A组、B组患者高压氧治疗，然后对两组患者的临床疗效、住院时间、迟发性脑病发生情况及死亡情况进行统计分析。结果：高压氧治疗第1个疗程后A组治疗的总有效率97.8%(88/90)明显比B组66.7%(60/90)高(P＜0.05)；A组的住院时间均明显比B组短(P＜0.05)，迟发性脑病发生率0，明显比B组4.4%(4/90)低(P＜0.05)，但两组患者的死亡率之间的差异无统计学意义(P＞0.05)。结论：一氧化碳中毒患者中毒后12 h之内给予其高压氧治疗比12 h后效果好，说明一氧化碳中毒后越早做高压氧治疗对其患者的预后越好。
목적：탐토고압양치료시궤대일양화탄중독예후적영향。방법：2011년3월-2014년2월수치일양화탄중독환자180례，근거환자실제치료시간장저사환자분위량조，즉중독후12 h내접수고압양치료조(A조)，중독후12 h후접수고압양치료조(B조)，매조90례。분별재환자중독후12 h지내화12 h후급여A조、B조환자고압양치료，연후대량조환자적림상료효、주원시간、지발성뇌병발생정황급사망정황진행통계분석。결과：고압양치료제1개료정후A조치료적총유효솔97.8%(88/90)명현비B조66.7%(60/90)고(P＜0.05)；A조적주원시간균명현비B조단(P＜0.05)，지발성뇌병발생솔0，명현비B조4.4%(4/90)저(P＜0.05)，단량조환자적사망솔지간적차이무통계학의의(P＞0.05)。결론：일양화탄중독환자중독후12 h지내급여기고압양치료비12 h후효과호，설명일양화탄중독후월조주고압양치료대기환자적예후월호。
Objective:To investigate the effect of hyperbaric oxygen therapy time for carbon monoxide poisoning.Methods:180 patients with carbon monoxide poisoning were selected from March 2011 to February 2014.They were divided into 2 groups according to the actual treatment time,namely the receiving hyperbaric oxygen therapy group within 12 h after poisoning(group A) and the receiving hyperbaric oxygen therapy after 12 h after poisoning group(B group),90 cases in each group.They were given hyperbaric oxygen therapy within 12 h(group A) and after 12 h(group B).We analyzed the clinical curative effects,hospitalization time,the incidence of delayed encephalopathy and the death situation of the two groups patients.Results:The total Efficiency of the A group 97.8%(88/90)was more obviously higher than that of the B group 66.7%(60/90) after the first course of hyperbaric oxygen therapy(P<0.05);the hospitalization time of patients in the group A was significantly shorter than that of the group B(P<0.05). Thedelayed encephalopathy occurrence rate(0) was lower than the B group 4.4% (4/90) (P<0.05),but the difference of the mortality was not significant between the two groups(P>0.05).Conclusion:The effect of we give the hyperbaric oxygen therapy for patients with carbon monoxide poisoning within 12 h after poisoning is better than after 12 h,so that after carbon monoxide poisoning,the earlier do hyperbaric oxygen treatment the better the prognosis of the patients.