不同体位麻黄碱滴鼻预防高压氧所致中耳气压伤的临床研究

Abstract
Figure/Table
References (15)
Related Citation (13)

Download: PDF (0 KB) HTML (35 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the clinical effect of Ephedrine Nasal Drops with different postures in the prevention of barotrauma of the middle ear caused by hyperbaric oxygenation.Methods A total of 60 patients who underwent the hyperbaric oxygen therapy for the first time in our hospital from January 2014 to November 2017 were selected as objects.They were randomly divided into observation group (n=30)and control group (n=30).The two groups of patients were treated in the same capsule,and the Ephedrine Nasal Drops were used before entering the capsule on the 1st,2nd and 3rddays.Patients in the control group received Ephedrine on the supine position,while head-side in 45°on the horizontal position was adopted in the observation group.The occurrence of barotrauma of the middle ear,the extent of tympanic membrane damage,and hyperbaric oxygen therapy tolerance were compared in order to analyze and evaluate the effect of different positions of Ephedrine Nasal Drops on the prevention of barotrauma of the middle ear caused by hyperbaric oxygen therapy and the influence on patient′s tolerance.Results The incidence of the middle ear barotrauma in the observation group was 6.66%,which was significantly lower than that in the control group accounting for 26.66%,and the difference was statistically significant(P<0.05).The degree of tympanic membrane damage was significantly lighter than that in the control group,and the difference was statistically significant(P<0.05).The tolerance of hyperbaric oxygen treatment in the observation group was 93.33%,which was significantly higher than that in the control group accounting for 73.33%,and the difference was statistically significant(P<0.05).Conclusion Ephedrine Nasal Drops in patients with head-side in 45°on the horizontal position is helpful to reduce the incidence of barotrauma of the middle ear,alleviate the degree of tympanic membrane damage,and increase the patients′tolerance to hyperbaric oxygen therapy,which obtains a remarkable effect and is worthy of clinical reference and promotion.

Key words： Different positions Ephedrine nasal drops Hyperbaric oxygen Barotrauma of the middle ear

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	PENG Long-jiao
	FENG Mei-lian
	HE San-jiao
	LUO Xiao-xiao

Cite this article:

PENG Long-jiao,FENG Mei-lian,HE San-jiao, et al. Clinical study of Ephedrine Nasal Drops with different postures in the prevention of barotrauma of the middle ear caused by hyperbaric oxygenation[J]. 中国当代医药, 2018, 25(26): 100-102.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I26/100

[1]	孔磊，许立民，盘晓荣，等.不同体位麻黄碱滴鼻预防高压氧治疗所致中耳气压伤的临床研究[J].中华护理杂志，2012，47（4）：301-303.
[2]	许立民，孔磊，陈世强，等.电耳镜诊断高压氧所致中耳气压伤的临床研究[J].广西医学，2013，35（2）：153-155.
[3]	姬变玲.高压氧治疗所致中耳气压伤的原因及预防[J].长治医学院学报，2012，26（6）：450-451.
[4]	许立民，孔磊，陈世强，等.电耳镜检查对高压氧治疗所致中耳气压伤的临床诊断意义[J].中华物理医学与康复杂志，2013，35（1）：58-59.
[5]	刘盈.不同体位麻黄碱滴鼻对高压氧治疗所致中耳气压伤的预防效果及患者耐受性[J].中国中西医结合耳鼻咽喉科杂志，2016，24（3）：174-177.
[6]	任洁.高压氧（HBO）致中耳气压伤原因分析及护理措施[J].中外医疗，2016，35（24）：163-165.
[7]	吴宝珍.高压氧治疗并发中耳气压伤的原因分析及护理[J].护理实践与研究，2012，9（23）：88-89.
[8]	蒲学梅，于巧秀，韩瑞.接受高压氧治疗患者并发中耳气压伤的相关因素分析[J].中国全科医学，2013，16（3）：303-305.
[9]	徐宏萍.高压氧治疗引起的气压伤25例分析[J].中国组织工程研究，2003，7（21）：2968.
[10]	黄怀，鲍锦华，徐洁明，等.高压氧治疗发生中耳气压伤84 例分析[J].中华理疗杂志，2001，24（4）：237-238.
[11]	徐曼，王娇，刘小红.高压氧治疗脑性瘫痪患儿疗效和安全性的 Meta 分析[J].中国儿童保健杂志，2015，23（1）：28-31.
[12]	贾秋云，孙双玲.护理干预对高压氧治疗突发性耳聋病人依从性的影响[J].护理研究，2013，27（12）：1112-1113.
[13]	郭峰，杨理明，宁泽淑，等.康复训练联合高压氧治疗手足口病所致弛缓性麻痹的疗效研究[J].国际神经病学神经外科学杂志，2014，41（6）：502-505.
[14]	严汀华，江金华，卢穗万，等.早期高压氧治疗重型颅脑外伤疗效及抗感染作用的临床研究[J].中国医师进修杂志，2014，37（14）：60-63.
[15]	徐春江，韩扬.高压氧治疗脑外伤认知障碍的临床应用[J].中国医药导报，2013，10（17）：28-30.