高压氧致一氧化碳中毒患者血管炎性反应的观察及护理

Observation and nursing of vascular inflammatory reaction of carbon monoxide poisoning patients undergoing hyperbaric oxygen therapy

目的探讨高压氧对一氧化碳中毒患者血管的损害，特别是对静脉血管的损害程度，了解加重血管炎性反应的因素，从而采取相应的防护措施。方法2006年1月至2008年1月随机选取一氧化碳中毒患者80例作为观察组，抽取其他疾病患者（头晕及胸闷待查的患者）80例作为对照组。2组患者均接受高压氧治疗。比较2组患者静脉血管充盈时间，并了解观察组患者疼痛反应的变化情况。结果2组患者静脉血管充盈时间比较差异显著。观察组患者较高压氧治疗前，疼痛敏感性增强。结论高压氧治疗与一氧化碳中毒患者血管炎性反应关系密切，应以此制定防护措施，防止血管进一步损害，减轻患者痛苦，保障全程治疗的顺利进行。

Objective To explore the damage of blood vessels in carbon monoxide poisoning patients by hyperbaric oxygen, especially for damage of vein, to understand the factors aggravating inflammatory response, thus work out the homologous protective measures. Methods From January 2006 to January 2008, 80 patients of carbon monoxide poisoning were selected as the observation group. Another 80 patients with other diseases were set as the control group. Two groups both accepted hyperbaric oxygen treatment. The time of angioplerosis was compared between the two groups, besides, pain reaction of the observation group was also observed. Results The time of angioplerosis was significantly different between the two groups, pain sensibility intensified in the observation group compared with that before treatment. Conclusions Hyperbaric therapy is closely related with vascular inflammatory reaction of carbon monoxide poisoning patients. Protective measures should be established in order to prevent further damage of vessel, relieve pain of patients and ensure smooth progress of the treatment.