hyperbaricoxygentherapy-therapeuticmodalities:高压氧疗法的治疗方法

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1、 2005 FA Davis, Inc.,Hyperbaric Oxygen Therapy, 2005 FA Davis, Inc.,Description,Exposes the patient (or an extremity) to a: High breathable oxygen environment High air pressure Saturates blood with oxygen, 2005 FA Davis, Inc.,Used For,Wound healing Soft tissue healing* Sprains Strains Contusions Inf

2、lammation Delayed onset muscle soreness Following cerebral strokes Treatment of the Bends * Efficacy as not been substantiated, 2005 FA Davis, Inc.,Theory,High air pressure decreases the size of gas bubbles in the blood 2 to 3 times that of normal air pressure High oxygen (100%) intake saturates the

3、 blood plasma with oxygen Net increase in oxygen delivered to healing tissues Decreases hypoxia Increases phagocytic and fibroblastic activity, 2005 FA Davis, Inc.,Biophysical Effects,Blood Flow Increased oxygen levels cause vasoconstriction Net increase in oxygen delivered to the tissues Maybe espe

4、cially beneficial to avascular structures: Achilles tendon Rotator cuff, 2005 FA Davis, Inc.,Biophysical Effects,Wound Healing Improved by: Oxygen accelerating phagocytosis Decreasing hypoxia Antimicrobial effect Increased ATP levels, 2005 FA Davis, Inc.,Biophysical Effects,Tissue Regeneration Impro

5、ved wound healing assists tissue regeneration Increased rate of fibroblast proliferation Also used for: Fracture healing Reducing delayed onset muscle soreness Lacking clinical evidence, 2005 FA Davis, Inc.,Precautions,Hyperbaric oxygen therapy should only be administered by trained personnel Too gr

6、eat of pressure may rupture the tympanic membrane Increased risk with an inner ear infection Decongestants may help prevent this Can increase the output of bodily gasses, 2005 FA Davis, Inc.,Contraindications,Pregnancy Inner ear infection Tympanic membrane rupture Upper respiratory infection Sinus c

7、onditions Lung disease Asthma Seizure disorders Optic neuritis Pneumothorax Claustrophobia, 2005 FA Davis, Inc.,Instrumentation,Chamber May hold one or more people Oxygen Administration Treatments administered at 95 to 100% O2 Oxygen delivered via an air mask Pressure Adjusts the chamber temperature

8、 from 1 to 3 atmospheres, 2005 FA Davis, Inc.,Instrumentation,Topical Administration Wounds: Patch is applied over the area Extremity Appliance is placed over the extremity 100% oxygen is used to inflate the device In some cases the patient will breath 95 to 100% oxygen, 2005 FA Davis, Inc.,Treatmen

9、t Duration,Using 100% oxygen and 2.5 atmospheres: 90 to 100 minutes Or 3 30-minute session The patient is exposed to normal air and air pressures between sessions, 2005 FA Davis, Inc.,Maintenance,After Each Use: Clean the interior of the chamber Clean or replace the oxygen mask As Indicated: A qualified technician should: Calibrate the pressure gauge Inspect and repair the unit,

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