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1、HyperbaricOxygenTherapyTherapeuticModalities高压氧疗法的治疗方法,1,Hyperbaric Oxygen Therapy,HyperbaricOxygenTherapyTherapeuticModalities高压氧疗法的治疗方法,2,Description,Exposes the patient (or an extremity) to a:High breathable oxygen environmentHigh air pressureSaturates blood with oxygen,HyperbaricOxygenTherapyThe
2、rapeuticModalities高压氧疗法的治疗方法,3,Used For,Wound healingSoft tissue healing*SprainsStrainsContusionsInflammationDelayed onset muscle sorenessFollowing cerebral strokesTreatment of the Bends* Efficacy as not been substantiated,HyperbaricOxygenTherapyTherapeuticModalities高压氧疗法的治疗方法,4,Theory,High air pres
3、sure decreases the size of gas bubbles in the blood2 to 3 times that of normal air pressureHigh oxygen (100%) intake saturates the blood plasma with oxygenNet increase in oxygen delivered to healing tissuesDecreases hypoxiaIncreases phagocytic and fibroblastic activity,HyperbaricOxygenTherapyTherape
4、uticModalities高压氧疗法的治疗方法,5,Biophysical Effects,Blood FlowIncreased oxygen levels cause vasoconstrictionNet increase in oxygen delivered to the tissuesMaybe especially beneficial to avascular structures:Achilles tendonRotator cuff,HyperbaricOxygenTherapyTherapeuticModalities高压氧疗法的治疗方法,6,Biophysical E
5、ffects,Wound HealingImproved by:Oxygen accelerating phagocytosisDecreasing hypoxiaAntimicrobial effectIncreased ATP levels,HyperbaricOxygenTherapyTherapeuticModalities高压氧疗法的治疗方法,7,Biophysical Effects,Tissue RegenerationImproved wound healing assists tissue regenerationIncreased rate of fibroblast pr
6、oliferationAlso used for:Fracture healingReducing delayed onset muscle sorenessLacking clinical evidence,HyperbaricOxygenTherapyTherapeuticModalities高压氧疗法的治疗方法,8,Precautions,Hyperbaric oxygen therapy should only be administered by trained personnelToo great of pressure may rupture the tympanic membr
7、aneIncreased risk with an inner ear infectionDecongestants may help prevent thisCan increase the output of bodily gasses,HyperbaricOxygenTherapyTherapeuticModalities高压氧疗法的治疗方法,9,Contraindications,PregnancyInner ear infectionTympanic membrane ruptureUpper respiratory infectionSinus conditionsLung dis
8、easeAsthmaSeizure disordersOptic neuritisPneumothoraxClaustrophobia,HyperbaricOxygenTherapyTherapeuticModalities高压氧疗法的治疗方法,10,Instrumentation,ChamberMay hold one or more peopleOxygen AdministrationTreatments administered at 95 to 100% O2Oxygen delivered via an air maskPressureAdjusts the chamber tem
9、perature from 1 to 3 atmospheres,HyperbaricOxygenTherapyTherapeuticModalities高压氧疗法的治疗方法,11,Instrumentation,Topical AdministrationWounds:Patch is applied over the areaExtremityAppliance is placed over the extremity100% oxygen is used to inflate the deviceIn some cases the patient will breath 95 to 10
10、0% oxygen,HyperbaricOxygenTherapyTherapeuticModalities高压氧疗法的治疗方法,12,Treatment Duration,Using 100% oxygen and 2.5 atmospheres:90 to 100 minutesOr3 30-minute sessionThe patient is exposed to normal air and air pressures between sessions,HyperbaricOxygenTherapyTherapeuticModalities高压氧疗法的治疗方法,13,Maintenance,After Each Use:Clean the interior of the chamberClean or replace the oxygen maskAs Indicated:A qualified technician should:Calibrate the pressure gaugeInspect and repair the unit,