在严重地震伤员中使用高压氧疗法。

Levent Demir, Mustafa Öztürk
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引用次数: 0

摘要

背景:地震是一种自然灾害,通常会造成严重的伤害和创伤。这些伤害包括挤压伤、骨折、组织损伤和血液循环问题。高压氧疗法(HBOT)最近已成为严重受伤者经常使用的一种治疗方式。高压氧疗法是一种在高压下向患者输入纯氧的治疗方式。这种疗法旨在通过增加细胞含氧量来促进组织愈合。它被认为对加速组织愈合、减少炎症和控制严重震后损伤(尤其是挤压伤)的感染等因素具有积极作用。本研究旨在回顾性评估 HBOT 在 2023 年 2 月 6 日发生的卡赫拉曼马拉什地震后 35 名重伤患者中的临床效果、对愈合过程的贡献以及潜在优势,并为制定紧急干预策略做出贡献:本研究经伦理委员会批准后进行。在研究中,研究人员从记录中获取了因严重地震损伤而被作为地震灾民收治并在 HBOT 病房接受治疗的 MESS 评分在 7-14 分之间的患者的数据,并对其进行了回顾性分析。记录了人口统计学信息、患者数据的总体分布、平均值、HBOT 治疗次数和功能结果:接受 HBOT 治疗的 35 名患者中,男性占 31.4%,女性占 68.6%。45.7%的患者年龄在 18 岁或以下,54.3%的患者年龄在 19 岁或以上。在接受治疗的患者中,最常见的损伤部位是下肢。经过 HBOT 治疗后,大多数患者实现了感觉恢复(54.3%)和功能恢复(51.4%)。HBOT 治疗后,轻度截肢率为 20.0%,重度截肢率为 11.4%:这项研究评估了 HBOT 对土耳其严重地震伤患者可能产生的影响,结果表明,HBOT 可能对这一特殊群体患者的感觉恢复、功能恢复和截肢率等关键因素产生有益影响,而且这种益处可能对早期开始治疗的患者更为明显。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Use of hyperbaric oxygen therapy in severe earthquake injuries.

Background: Earthquakes are natural disasters that can often cause severe injuries and traumatic situations. These injuries can include crush injuries, fractures, tissue damage, and blood circulation problems. Hyperbaric oxygen therapy (HBOT) has recently become a frequently used treatment modality for individuals suffering from severe injuries. HBOT is a form of treatment that involves administering pure oxygen to the patient under high pressure. This treatment aims to promote tissue healing by increasing cellular oxygenation. It is thought to have a positive effect on factors such as accelerating tissue healing, reducing inflammation, and controlling infection in severe post-earthquake injuries, particularly crush injuries. This study aimed to retrospectively evaluate the clinical effects, contributions to the healing process, and potential advantages of HBOT in 35 patients with severe injuries after the Kahramanmaraş earthquake that occurred on 06.02.2023 and to contribute to the development of emergency intervention strategies.

Methods: This study was carried out after ethics committee approval. In the study, the data of patients with a MESS Score between 7-14 who were admitted as earthquake victims and treated in the HBOT Unit due to severe earthquake-related injuries were obtained from records and retrospectively analyzed. Demographic information, general distribution of patient data, mean values, number of HBOT sessions, and functional outcomes were recorded.

Results: The gender distribution of the 35 patients who received HBOT was 31.4% male and 68.6% female. 45.7% of patients were aged 18 years or younger, and 54.3% were aged 19 years or older. The most common injuries in the treated patients were observed in the lower extremities. After HBOT, sensory recovery (54.3%) and functional recovery (51.4%) were achieved in the majority of patients. The minor amputation rate was 20.0% and the major amputation rate was 11.4% after HBOT.

Conclusion: This study evaluated the possible effects of HBOT on patients with severe earthquake injuries in Türkiye, and the results showed that HBOT may have a beneficial effect on critical factors such as sensory recovery, functional recovery, and amputation rates in this particular group of patients, and that this benefit may be more pronounced in those who started treatment early.

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