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减压病和动脉气体栓塞的初始高压氧舱治疗

Initial table treatment of decompression sickness and arterial gas embolism.

作者信息

Bond J G, Moon R E, Morris D L

机构信息

Divers Alert Network, Duke University Medical Center, Durham, NC.

出版信息

Aviat Space Environ Med. 1990 Aug;61(8):738-43.

PMID:2205196
Abstract

This descriptive, nonrandomized, multicenter-based study compares the treatment outcomes of two major categories of recompression treatment tables for recreational sport SCUBA divers suffering from decompression sickness and/or arterial gas embolism. Stratified and logistic regression analyses were used to compare the enhanced tables, which use pressures of 165 fsw (feet of salt water) or 60 fsw with extended recompression time, to the regular tables, which use pressures of 60 fsw or less without extended recompression time. A total of 113 cases were treated with enhanced tables, 54 being successes. A total of 214 cases were treated with regular tables, 135 being successes. The final logistic statistical model after adjusting for confounding factors found a significant improvement in successful treatment outcomes for divers treated with tables that use pressures of 60 fsw or less without extended recompression time (OR = 0.47, 95% CI = 0.28-0.78).

摘要

这项描述性、非随机、多中心研究比较了两类主要的再加压治疗方案对患有减压病和/或动脉气体栓塞的休闲潜水运动潜水员的治疗效果。采用分层和逻辑回归分析,将使用165英尺海水压力(fsw)或60 fsw并延长再加压时间的强化治疗方案与使用60 fsw或更低压力且无延长再加压时间的常规治疗方案进行比较。共有113例采用强化治疗方案,其中54例成功。共有214例采用常规治疗方案,其中135例成功。在调整混杂因素后的最终逻辑统计模型发现,对于使用60 fsw或更低压力且无延长再加压时间的治疗方案治疗的潜水员,成功治疗结果有显著改善(比值比=0.47,95%可信区间=0.28-0.78)。

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