摘要
减压病是指机体在高气压环境下暴露一定时间后，由于外界压力下降过快，溶解于体内的惰性气体来不及随呼吸排出体外，而在组织和血液中形成气泡所引起的一种疾病。减压病严重威胁潜水员的健康，可表现为皮疹、关节及四肢的疼痛、中枢神经系统紊乱、呼吸困难、偏瘫等症状。目前常规的减压程序无法完全避免减压病的发生，如何采取有效预防措施减少减压病的发生率，是援潜救生的研究重点。本文就最近的减压病的预防措施进行综述。
出处
《中华航海医学与高气压医学杂志》
CAS
CSCD
北大核心
2013年第1期63-65,共3页
Chinese Journal of Nautical Medicine and Hyperbaric Medicine
基金
总后卫生部科研课题（编号11A101）
参考文献28
-
1Tikuisis P, Gerth WA. Decompression theory. In: Bennett and Elliottg Physiology and Medicine of Diving (5th ed. ), edited by Brubakk AO and Neuman TS. Edinburgh: Saunders, 2003:419- 454.
-
2Arieli Y, Arieli R, Marx A. Hyperbaric oxygen may reduce gas bubbles in decompressed prawns by eliminating gas nuclei. J Appl Physiol, 2002,92(6) : 2596-2599.
-
3Arieli R, Boaron E, Arieli Y, et al. Oxygen pretreatment as proteclion against decompression sickness in rats: pressure and time necessary" for hypothesized denucleation and renucleation. Eur J Appl Physiol, 2011,111 (6) :997-1005.
-
4Katsenelson K, Arieli R, Arieli Y. Hyperbaric oxygen pretreatmcnt according to the gas micronuclei denucleation hypothesis reduces neurologic deficit in decompression sickness in rats. J Appl Physiol , 2009,107(2) : 558-563.
-
5Bosco G, Yang Z J, Di Tano G, et al. Effect of in-water oxygen prehreathing at different depths on decompression - induced Imhhle formation and platelet activation, J Appl Physiol, 2010, 108(5) : 1077-1083.
-
6Mahon RT, Dainer HM, Gibellato MG, et al. Short oxygen prebrcathe periods reduce or prevent severe decompression sickness in a 70 kg swine saturation model. J Appl Physiol, 2009,106(4) : 1459-1463.
-
7Petersen K, Soutiere SE, Tucker KE, et al. Oxygen breathing accelerates decompression from saturation at 40 msw in 70 - kg swine. Aviat Space Environ Med, 2010,81 (7) :639- 645.
-
8Wisloff U, Richardson RS, Brubakk AO. Exercise and nitric oxide prevent bubble formation: a novel approach to the prevention of decompression sickness? J Physiol, 2004,555: (Pt 3 ), 825- 829.
-
9Dujic Z, Obad A, Pa!ada I, et al. Venous bubble count declines during strenuous exercise after an open sea dive to 30 m. Aviat Space Environ Med, 2006,77(6) :592-596.
-
10Blatteau JE, Gempp E, Galland FM, et al. Aerobic exercise 2 hours before a dive to 30 msw decreases bubble formation after decompression. Aviat Space Environ Med, 2005, 76 (7) :666- 669.
同被引文献15
-
1Tikuisis P, Gerth WA. Physiology and Medicine of Diving (5th ed. )[M]. Edinburgh: Saunders, 2003: 419-454.
-
2Arieli Y, Afieli R, Marx A. Hyperbaric oxygen may reduce gas bubbles in decompressed prawns by eliminating gas nuclei [J]. JAppl Physiol, 2002, 92(6): 2596-2599.
-
3Foster PP, Butler BD. Decompression to altitude: assunip- tions, experimental evidence, and future directions [ J ]. J Appl Physiol, 2009, 106(2) : 678-690.
-
4Arieli R, Boaron E, Arieli Y, et al. Oxygen pretreatment as protection against decompression sickness in rats: pressureand time necessary for hypothesized denucleation and renu- cleation[J]. Eur JAppl Physiol, 2011, 111(6): 997-1005.
-
5Bosco G, Yang ZJ, Di Tano G, etal. Effect of in-water oxy- gen prebreathing at different depths on decom-pression-in- duced bubble formation and platelet ctivation[J ]. J Appl Physiol, 2010, 108(5): 1077-1083.
-
6Hodges AN, Delaney S, Lecomte JM, et al. Effect of hyper- baric oxygen on oxygen uptake and measurements in the blood and tissues in a normobarie environment [ J ]. Br J Sports Med, 2003, 37(6): 516-520.
-
7Vann RD, Burler FK, Mitchell SJ, et al. Decompression ill- ness [J]. Lancet, 2011, 377(9760). 153-164.
-
8Levett DZ, Millar II. Bubble trouble: a review of diving physiology and disease [ J ]. Postgrad Med J, 2008, 84 (997) : 571-578.
-
9范丹峰,康志敏,张荣佳,蔡志宇,徐伟刚.空气潜水减压病大鼠模型的建立[J].环境与健康杂志,2009,26(11):1018-1020. 被引量：5
-
10孟淼,包晓辰,方以群.不安全减压对大鼠TNF-α、IL-6及IFN-γ表达的影响[J].海军医学杂志,2010,31(4):291-292. 被引量：4
引证文献2
-
1王芳芳,方以群,攸璞,包晓辰,马骏,张师.不同压力氧气对大鼠潜水减压病的预防作用[J].中国应用生理学杂志,2015,31(5):401-404. 被引量：1
-
2刘程,方以群,李志勇,张珊珊,王楠,许骥,郭美丽.菸花苷对快速上浮脱险致减压病的预防作用[J].河北医药,2023,45(10):1479-1483.
-
1邱怀雨,张卯年.军人眼外伤流行病学研究进展[J].人民军医,2009,52(9):567-568. 被引量：5
-
2李学文,姜艳,孙孝东,张海峰.高压氧治疗氮气泄漏缺氧症2例报告[J].中华临床医学杂志,2008,9(5):60-60. 被引量：1
-
3钱汐晶,徐佳俊,蔡志宇,李润平.艇员饱和暴露后预吸氧预防快速上浮脱险所致减压病的研究进展[J].中华航海医学与高气压医学杂志,2009,16(4):193-196.
-
4张红专,周海维,席允平,李耸岩,许卫国,尹承宇,李学文.实验性减压病时家兔体内组织型纤溶酶原激活物含量的变化[J].中华航海医学与高气压医学杂志,2002,9(4):227-228.
-
5李富山,肖卫兵,陈锐勇,陈振海,赵玉平,何佳,黄志强.80m饱和-100m巡回潜水训练的医学保障体会[J].海军医学杂志,2010,31(3):250-251. 被引量：1
-
6汪斌和,廖志前,张昌泉.某部做好登革热防治工作的几点做法与体会[J].医学动物防制,2008,24(4):312-312. 被引量：1
-
7王岩,李学文,姜艳,吴光哲,刘丹,李杰静,方以群.脊髓型减压病52例临床特征及其预后分析[J].中华航海医学与高气压医学杂志,2012,19(4):238-241. 被引量：3
-
8张辉,姜正林,徐伟刚.潜水员潜水后安全飞行研究概述[J].中华航海医学与高气压医学杂志,2016,23(5):414-416. 被引量：1
-
9方以群,王文波,陈勇,胡明洋.海上30m快速上浮脱险试验对血压、脉搏和呼吸频率的影响[J].海军医学杂志,2004,25(1):9-12. 被引量：6
-
10蔺世龙.微循环检测技术在减压病诊治中的应用现状及展望[J].微循环学杂志,2006,16(2):6-8. 被引量：3
