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Timing of intervention and therapeutic efficacy of adjuvant hyperbaric oxygen therapy against COVID-19(PDF)

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

Issue:
2020年第5期
Page:
641-643
Research Field:
医学影像物理
Publishing date:

Info

Title:
Timing of intervention and therapeutic efficacy of adjuvant hyperbaric oxygen therapy against COVID-19
Author(s):
YANG Yong1 WU Muyu1 MIAO Lixia2 HE Cong3
1. Department of Geriatric Medicine, Affiliated Dongfeng Hospital, Hubei University of Medicine, Shiyan 442008, China 2. Department of Critical Care Medicine, Affiliated Dongfeng Hospital, Hubei University of Medicine, Shiyan 442008, China 3. Department of Hyperbaric Oxygen, Affiliated Dongfeng Hospital, Hubei University of Medicine, Shiyan 442008, China
Keywords:
COVID-19 adjuvant hyperbaric oxygen timing of intervention hospital stay
PACS:
R459.6;R563.1
DOI:
10.3969/j.issn.1005-202X.2020.05.021
Abstract:
Objective To investigate the therapeutic efficacy of adjuvant hyperbaric oxygen therapy (HBO) against COVID-19 and the effects of timing of intervention on the efficacy. Methods The clinical information of 88 patients whomet the criteria for COVID- 19 protocol (the fifth trial edition) and were treated inAffiliated Dongfeng Hospital, Hubei University of Medicine from January to March in 2020 were studied retrospectively. A according to treatment methods, the patients were divided into conventional treatment group (n=50) and adjuvant HBO group (n=38). The differences in the indexes including the time of negative transformation of nucleic acid, the time of CT improvement, the time of lymphocyte normalization and hospital stay between two groups were compared. Meanwhile, 33 patients with ordinary type of COVID-19 in adjuvant HBO group were further divided into early phase group (1-10 days after admission to hospital, n=15) and late phase group (>10 days after admission to hospital, n=18 patients) to compare the differences in hospital stays. Results Compared with those in conventional treatment group, the patients in adjuvant HBO group achieved the negative transformation of nucleic acid, CT improvement and lymphocyte normalization earlier, and had a shorter hospital stay in adjuvant HBO group was shorter than that in conventional treatment group. Moreover, the hospital stay in early phase group was shorter than that in late phase group, with statistical differences (P<0.05). Conclusion Adjuvant HBO plus conventional treatment can accelerate the time of negative transformation of nucleic acid, CT improvement, lymphocyte normalization, and shorten hospital stays, and the earlier HBO is adopted, the shorter the hospital stay is.

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Last Update: 2020-06-03