高压氧治疗儿童外伤性脑梗死30例临床效果分析

目的:分析探讨高压氧治疗儿童外伤性脑梗死的临床治疗效果.方法:收集本院收治的60例儿童外伤性脑梗死病例,按治疗方法的不同分为2组,观察组患儿(30例)采用高压氧治疗,对照组患儿(30例)采用综合治疗,回顾性分析治疗效果.结果:60 例外伤性脑梗死患儿经治疗后,随访5个月,观察组30例患儿,痊愈者24例,好转4例,无效2例,有效率达93.3%;对照组30例患儿,痊愈者16例,好转6例,无效8例,有效率为73.3%.对比两组的治疗有效率差异有统计学意义(P<0.05).结论:对儿童外伤性脑梗死采用高压氧治疗,效果满意,有临床推广意义.     

38例药物联合高压氧治疗突聋患者的护理

总结了突发性耳聋患者药物联合高压氧治疗的临床观察及护理方法.主要包括静脉用药护理、高压氧治疗中护理、心理护理及健康教育和出院指导等措施.认为在突发性耳聋的药物联合高压氧治疗过程中,有效的护理措施和相关疾病知识指导在促进突聋患者康复过程中具有重要意义.     

高压氧结合穴位治疗小儿脑瘫的疗效观察

目的:观察穴位结合高压氧对小儿脑瘫的治疗效果.方法:48例 1个月至 2岁的脑瘫患儿随机分为治疗组( 穴位加高氧) 24例,对照组( 穴位) 24例,治疗前后进行日常生活能力、运动功能评定.结果:经3个疗程( 每疗程治疗15d,休息 15d )治疗后,治疗组日常生活能力评分、运动功能评定明显高于对照组( P<0.05),效果校理想.结论:高压氧加穴位对于小儿脑瘫康复的功能改善效果明显.     

高压氧治疗颅脑损伤92例的护理观察

目的:探讨采用高压氧治疗颅脑损伤的疗效并进行护理观察.方法:选择2008年5月到2010年10月在我院进行高压氧治疗的92例颅脑损伤患者作为研究对象,所有研究对象均签署知情同意书,愿意参加本次研究.结果:高压氧治疗颅脑损伤效果分析显示总有效率为97.96%,无效病例为1例,占1.5%,1例由于病情恶化不能继续进行治疗而减压出舱外,治疗过程中没有焦虑、中耳炎和氧中毒等并发症发生.结论:采用压氧治疗颅脑损伤的疗效较好,但应注意术后护理观察.     

高压氧行脑复苏的治疗和护理(附1例报告)

脑复苏是针对心肺复苏成功的病人在缺血缺氧以及血液再灌注过程中所造成的以大脑为主的全身各脏器的损害所进行的治疗.分析本文病例整个诊疗过程,此病人脑复苏成功主要得益于两个方面:①早期而规律的高压氧治疗;②高压氧治疗的同时配合了低温疗法、控制脑水肿,维持脑循环血量、促进脑细胞代谢、控制感染等综合治疗.     

高压氧治疗突发性耳聋的疗效观察及护理

目的 探讨高压氧治疗突发性耳聋的疗效及护理.方法将60例突发性耳聋的患者随机分为对照组和观察组各30例,对照组给予常规药物治疗,观察组在常规治疗基础上加用高压氧治疗,比较2组治疗效果.结果 2组临床总有效率分别为93.33%和70%,2组比较有明显差异(P＜0.05).结论高压氧治疗突发性耳聋可明显提高疗效,完善的护理对治疗具有重要的意义.     

扩血管药物在临床治疗"双心病"中的应用、观察及护理

"双心病"是肺心病并发冠心病.在2009年6月~2010年6月期间收治的老年慢性肺原性心脏病29例,并发冠心病16例.将应用扩血管药物治疗"双心病"的临床资料总结如下.     

腹部手术后功能性胃排空障碍病人的治疗与护理

功能性胃排空障碍(FDGE)是一种腹部手术后因胃肠功能紊乱导致的胃排空延迟症候群,表现为胃肠功能恢复开始进流质饮食后再出现胃潴留症状.FDGE是腹部手术后,特别是胃癌根治术、胰十二指肠切除术、门静脉高压症断流术后常见的并发症.FDGE一旦发生,常持续数周甚至更长时间,临床处理非常棘手,一般经保守治疗2-4周均能治愈,而护理工作在促进患者早日康复起到非常重要的作用.     

肩关节杠杆扳法治疗肩关节运动功能障碍临床观察

肩关节运动功能障碍,是因肩关节周围软组织非特异性炎症的组织粘连、外伤性粘连、骨折手术后粘连、上肢骨折固定后粘连、脱位复位后粘连等因素造成的肩关节粘连性运动障碍.笔者运用范炳华先生倡导的"肩关节杠杆扳法"治疗肩关节运动功能障碍,临床疗效观察如下,以供参考.     

浅论奥尔夫音乐治疗法对智力障碍儿童行为治疗的作用

智力障碍儿童的特殊教育是一个极大的社会问题,奥尔夫音乐治疗法是音乐治疗学科中一门非常重要的方法技术,它是在奥尔夫音乐教育体系的基础上形成的,它对恢复智力障碍儿童的心理、生理功能,补偿其智力和适应行为的缺陷等方面是一种具有独特效果的治疗手段。本文通过对奥尔夫音乐治疗法的介绍和在对智力障碍儿童中的运用情况来分析和研究它对智力障碍儿童的行为治疗有什么样的积极治疗作用。     

Perseverative behavior in Alzheimer's disease and subcortical ischemic vascular dementia.

Perseverative behavior has not been extensively studied in patients with dementia. In this study, perseverative behavior was elicited with the dementia version of the Graphical Sequence Test. A control group and participants with Alzheimer's disease (AD) and subcortical ischemic vascular dementia (IVD) were studied. A factor analysis revealed a 3-factor model consisting of perseverations related to semantic knowledge, motor functioning, and a third, intermediary factor. IVD participants made more total perseverations than did AD participants. Perseverations made by AD participants were correlated with deficits on tests of semantic knowledge, whereas the perseverations made by IVD participants were correlated with motor and frontal systems tests. Results are consistent with the view that perseverative behavior is hierarchically arranged in terms of specific levels of cognitive complexity and the overall pattern of cognitive deficits associated with each type of dementia. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adjunctive treatment of compartment syndrome with hyperbaric oxygen

Trauma-induced compartment syndrome and other acute traumatic peripheral ischemias have been effectively treated with hyperbaric oxygen therapy. We describe a case of compartment syndrome associated with an acute exertional injury. After surgical decompression, hyperbaric oxygen therapy reduced edema and improved tissue viability. The mechanisms of hyperbaric oxygen applicable to the pathophysiology of compartment syndrome are described. We believe that hyperbaric oxygen is a useful intervention in the management of compartment syndrome.     

The role of hyperbaric medicine in the treatment of cerebral and myocardial ischemic disease

We observed the cases of two young women who both developed esophageal and perineal tumors successively. The esophageal component usually is the first manifestation. Esophagectomy, with or without gastrectomy is generally required. The genital affection involves the periclitoridian region, the minora and majora labia. Tracheobronchial localization is less common, but it may be lethal due to bronchospasm. An association between diffuse leiomyomatosis and Alport syndrome is not fortuitous. Recently, molecular biology has enabled to understand the combination of the two pathologies by showing the presence of a deletion on adjacent X chromosome genes, COL4A5 and COL4A6, which are involved in the synthesis of type IV collagen fibres. Leiomyomatosis and Alport syndrome are transmitted as X-linked dominant traits. Women with diffuse leiomyomatosis transmit Alport syndrome. An antenatal diagnosis can be proposed for such patients.     

Clinical significance of the urinary oxygen tension in patients with ischemic heart disease

The clinical significance of the urinary oxygen tension (PuO2) was evaluated in 60 patients with ischemic heart disease. The PuO2 had fair relations to cardiac index and serum creatinine level (r = 0.73 and r = 0.73, respectively). Although the PuO2 had a fair relation to serum creatinine in patients with a low cardiac index, there was no relation to the cardiac index. In patients with increases in PuO2 from day 1 to day 2, the cardiac index increased, and the serum creatinine level decreased on the 2nd day, whereas a sustained decrease in cardiac index and an increase in serum creatinine were observed in patients with a decrease in PuO2 from day 1 to day 2. Thus, PuO2 can be used as an indicator of the renal function in patients with ischemic heart disease.     

Cognitive consequences of subcortical magnetic resonance imaging changes in Alzheimer''s disease: comparison to small vessel ischemic vascular dementia

When an elderly patient with Alzheimer's disease or other form of dementia exhibits agitated behavior, the caregiver often wants the physician to "do something"--i.e., give a neuroleptic drug. Yet, an individualized, rational approach to identify and treat the cause of the agitation is more effective. We present an algorithm that emphasizes environmental and behavioral therapy.     

The effects of hyperbaric oxygen on normal and ischemic colon anastomoses

A pregnant woman with transient gastric obstruction was fed by enteral nutrition alone for 11 wk and 6 d. Her body mass index of 23.2 kg/m2 before pregnancy declined to 21.8 kg/m2 after delivery. Although she did not gain weight during enteral nutrition, fetal growth, estimated by ultrasonography, was normal, and she delivered a 3030-g female infant at 38 wk gestation. The blood laboratory data during pregnancy and the breast milk after pregnancy were also normal. The results suggest that factors other than maternal weight gain alone should be considered in the evaluation of nutritional status for the pregnant woman.     

The treatment of ischemic heart disease in patients with chronic kidney failure

An analysis of the initial type of central hemodynamics and the postoperative period in 177 patients aged older than 70 years having calculous cholecystitis has shown that surgical treatment of patients with the normo- and hyperdynamic types of circulation even with concomitant diseases can give positive results. The least favourable regimen of blood circulation proved to be the hypodynamic type characteristic of patients with pronounced disturbances of homeostasis and/or with recent myocardial infarction.     

The treatment of radiation necrosis with hyperbaric oxygen (OHP)

Sixty-nine patients with radiation necrosis were received by the authors from January 1, 1969 through August 1, 1975. The patients were categorized according to site of injury. Full treatment protocol is discussed including local wound care, antibiotic coverage, surgical procedures, and the administration of hyperbaric oxygen. Results indicate that the combination of hyperbaric oxygen, properly timed surgery, and antibiotic therapy has resulted in improvement in all cases of radiation necrosis and full healing in most.     

Epilepsy in patients with ischemic brain disease

The paper characterizes age-specific involution of the ENT tissues, acoustic and vestibular analyzers, hearing and equilibrium defects. Original investigations of the authors give wider possibilities of early detection of age-related failure of the internal ear functions. Relevant tests are proposed.