《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

高压氧治疗对成年脊髓损伤患者血压和心率的影响①

杜娟，张才，田雪梅   

  1. 中国康复研究中心北京博爱医院高压氧治疗中心，北京市100068。
  • 出版日期:2016-03-25 发布日期:2016-06-01

Impact of Hyperbaric Oxygen Therapy on Blood Pressure and Heart Rate in Adults with Spinal Cord Injury

DU Juan, ZHANG Cai, TIAN Xue-mei   

  1. Center of Hyperbaric Oxygen Therapy, Beijing Bo'ai Hospital, China Rehibilitation Research Center, Beijing 100068, China
  • Published:2016-03-25 Online:2016-06-01

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摘要： 目的探讨高压氧治疗对成年脊髓损伤患者血压和心率的影响。方法2014 年3~11 月接受高压氧治疗的成年脊髓损伤患者48 例为观察组，选择性别和年龄匹配、同舱治疗的非脊髓损伤患者48 例为对照组，分别于入舱前、加压末、吸氧30 min、减压前、减压末测量两组患者血压和心率。将观察组分为高位脊髓损伤组(T4以上)和低位脊髓损伤组(T4以下)，比较两组患者各时间点血压、心率变化，并分别与各自对照进行比较。结果高位脊髓损伤组患者入舱前血压显著低于对照组(t>6.337, P<0.001)，加压治疗后，血压逐渐上升，吸氧30 min 和减压前与对照组无显著性差异(P>0.05)；两组心率无显著性差异(P>0.05)。低位脊髓损伤组和其对照组血压无显著性差异(P>0.05)。结论高位脊髓损伤患者在高压氧治疗期间血压明显上升，应予以重视。

关键词: 脊髓损伤, 高压氧治疗, 血压, 心率

Abstract: Objective To observe the impact of hyperbaric oxygen (HBO) therapy on blood pressure and heart rate in adults with spinal cord injury (SCI). Methods 48 adult SCI patients who accepted HBO therapy from March to November, 2014, were observed. Other 48 non-SCI patients matched sexes and ages were as the controls. Their blood pressure and heart rate were measured before chambering, before compression, HBO for 30 minutes, before decompression and at the end of decompression. The patients were divided into high SCI group and low SCI group based on the injury levels above or below T4. Results The blood pressure was lower in the high SCI patients than their controls (t>6.337, P<0.001), and increased as taking in the oxygen. There was no significant difference between the high SCI patients than their controls as they took in for 30 minutes and before the decompression (P>0.05). No difference was found between both groups in heart rate (P>0.05). For the low SCI patients, neither the blood pressure nor the heart rate was different from their controls (P>0.05). Conclusion The blood pressure may increase during HBO intaking in the high SCI patients, which need be paid attention to.

Key words: spinal cord injury, hyperbaric oxygen therapy, blood pressure, heart rate