Guan Ya-dong, Wang Zhen, Li Dong-sheng, Fang Yi-qun, Huang Zhi-qiang
Nanjing Military Command Nanjing General Hospital, Nanjing 210002, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2011 May;29(5):374-6.
To observe the therapic effects of the recompression treatment schedule D2 (breathing 100% oxygen at 0.12 MPa gauge pressure) on the type I decompression illness (DCI) by hyperbaric chamber pressurized with air.
The recompression treatment schedule D2 was from the decompression treatment tables of
In the work site group, the pains of joints, arms and legs were released quickly, the therapic effects appeared at (8.1 +/- 8.1) min, the cases were cured with a recompression therapy of basic schedule D2, the total mean time of treatment was (150 +/- 0.0) min. In the hospital group, the pains of joints, arms and legs disappeared slowly, the therapic effects appeared at (115.0 +/- 60.0) min, the cases were cured with a recompression therapy of extended schedule D2, the total mean time of treatment was (270.0 +/- 0.0) min, which was significantly longer than that in the work site group (P<0.01).
The treatment pressure is 0.12 MPa(gauge pressure) in schedule D2 with medical hyperbaric chamber pressurized with air,which can be used for treatment of type I DCI, the curative effects in the work site group are better than those in the hospital group.
观察在空气加压舱内采用重新加压治疗方案D2（在表压0.12MPa下呼吸100%氧气）对Ⅰ型减压病（DCI）的治疗效果。
重新加压治疗方案D2来自德国BGI690的《压缩空气疾病治疗手册》中的减压治疗表。对7例现场组（工作现场组）和5例住院组患者进行重新加压治疗。所有病例均在隧道建设中压缩空气作业后经正常减压程序发生Ⅰ型DCI。根据病例对重新加压治疗的反应症状，这些患者采用基本方案D2或扩展方案D2进行治疗。
现场组关节、手臂和腿部疼痛迅速缓解，治疗效果在（8.1±8.1）分钟出现，采用基本方案D2的重新加压治疗治愈病例，总平均治疗时间为（150±0.0）分钟。住院组关节、手臂和腿部疼痛缓解缓慢，治疗效果在（115.0±60.0）分钟出现，采用扩展方案D2的重新加压治疗治愈病例，总平均治疗时间为（270.0±0.0）分钟，明显长于现场组（P<0.01）。
采用空气加压的医用高压舱，方案D2的治疗压力为0.12MPa（表压），可用于治疗Ⅰ型DCI，现场组的疗效优于住院组。
