文章摘要
王熠钊,杨娜娜,黄晓琳.面罩直流给氧在颌面部损伤患者高压氧治疗中的应用[J].中国康复,2013,28(3):178-180
面罩直流给氧在颌面部损伤患者高压氧治疗中的应用
Application of face mask with straight flow oxygen supply in hyperbaric oxygen treatment of patients with maxillofacial injury
  
DOI:
中文关键词: 高压氧  直流给氧  颌面部损伤  多发伤
英文关键词: hyperbaric oxygen  straight flow oxygen  maxillofacial injury  multiple injury
基金项目:
作者单位
王熠钊 华中科技大学同济医学院附属同济医院康复医学科武汉 430030 
杨娜娜 华中科技大学同济医学院附属同济医院康复医学科武汉 430030 
黄晓琳 华中科技大学同济医学院附属同济医院康复医学科武汉 430030 
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中文摘要:
  目的:观察面罩直流给氧在颌面部损伤合并多发伤患者高压氧治疗中的应用,比较其与气管切开后直流给氧治疗的效果。方法:多发伤患者20例,其中观察组10例,合并颌面部损伤;对照组10例,已行气管切开术。2组患者均给予高压氧直流给氧治疗,其中观察组将面罩直接置于患者口鼻表面并不予面罩施加压力,对照组将氧管直接置于气管切开处。于治疗前、治疗5及10d后分别进行格拉斯哥昏迷量表(Glasgow coma scale,GCS)及ADL评分。结果:治疗5d后,2组的GCS及ADL评分均有所提高(均P<0.05);治疗10d后,2组GCS及ADL评分继续提高(均P<0.05)。治疗5及10d后,2组间GCS评分及ADL评分比较,差异均无统计学意义。结论:面罩直流给氧方式,避免了面罩在治疗过程中对颌面部损伤的压迫,有益于颌面部禁止受压患者的高压氧治疗。
英文摘要:
  Objective:To observe the effect of face mask with straight flow oxygen supply vs.straight flow oxygen with tracheal incision in hyperbaric oxygen treatment of maxillofacial injury combined with multiple injuries.Methods:Twenty cases of multiple injuries were chosen.Ten patients in observation group suffered from maxillofacial injury combined with multiple injuries,while ten patients in control group had been given tracheal incision.All these two groups were given straight flow oxygen supply.In observation group,face masks were put directly on the top of mouth without compression on noses.Oxygen tubes were put at the tracheal incision in control group.Glasgow coma scale (GCS) and activities of daily living (ADL) scores were evaluated before and 5 and 10 days after treatment.Results:Five days after therapy,GCS and ADL scores were significantly increased in both two groups,with even higher scores at 10th day after treatment (all P<0.05).There was no significant difference in GCS and ADL scores between two groups after treatment for 5 and 10 days.Conclusion:Face mask combined with straight flow oxygen supply avoided face compression,which was beneficial to patients requiring no pressure on their faces.
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