在高压中心治疗严重的脊髓减压疾病的治疗管理
Benjamin Simonnet1, Romain Roffi1, Henri Lehot1
1Department of Diving and Hyperbaric Medicine, Sainte-Anne Military Hospital, Toulon, France.
Frontiers in medicine
|September 25, 2023
概括
脊髓减压疾病 (scDCS) 的治疗是通过高压疗法在2.8 atm腹部,而不是4 atm的高压疗法来优化. 这种方法可以减少长期神经系统的后果.
科学领域:
- 高压医学的高压医学.
- 潜水生理学 潜水生理学
- 神经学 神经学
背景情况:
- 脊髓减压疾病 (scDCS) 经常导致长期的神经系统缺陷.
- 对scDCS的最佳治疗管理策略仍在调查中.
研究的目的:
- 评估scDCS不同高压治疗方案的疗效.
- 为了比较高压再压缩使用表格在4ATM与2.8ATM腹部.
主要方法:
- 在2010-2020年期间接受治疗的102名scDCS患者的回顾性分析.
- 纳入标准:客观的感觉/运动缺陷或关节损伤.
- 对潜水概况,再压缩时间和医院内管理的分析,包括高压表和利多卡因.
主要成果:
- 较高的初始严重程度,早期的神经系统恶化和4 atm再压缩表与不完全恢复有关.
- 与2.8 atm腹部表进行治疗时,与4 atm表相比,后续症状显著减少.
- 最佳的治疗方法包括平衡高部分压氧 (2.8 atm) 与有限的暴露以防止毒性;Heliox可能是有益的.
结论:
- 在scDCS中神经连续症的风险受到初始严重程度和早期临床变化的影响.
- 适应良好的初始和补充的高压治疗可以减轻导致后续的生物级联.
- 高压治疗在2.8 atm腹部似乎更有效地减少scDCS的后果.
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