J Korean Neurol Assoc > Volume 21(1); 2003 > Article

Journal of the Korean Neurological Association 2003;21(1): 77-81.

"척수형 감압병 환자에 있어 서로 다른 재가압치료의 효과에 대한 비교"

김지연 , 안진영 김병준 김민기

지방공사 강남병원 신경과,성균관대학교 의과대학 삼성서울병원 신경과학교실

"Therapeutic Effect of Different Tables in Spinal Type of Decompression Sickness"

Ji-Yeon Kim

"Department of Neurology, Gangnam General Hospital Public Corporation Department of Neurology, Samsung Medical Center, College of Medicine, Sungkyunkwan University"

Abstract

"Background : Recompression therapy is well established in the treatment of decompression sickness (DCS) include-ing spinal type. However it was not confirm whether each United State Navy (USN) treatment tables had different ther-apeutic effect in spinal type of DCS. The purpose of this study is to find if the use of different tables results in a differ-ent outcome in spinal type of DCS. And we want to reconfirm an unsatisfactory cure rate of USN table 6. Methods : We applied different USN treatment tables, 6, 6a and 6a1, to spinal type of DCS for 10 years. 68 patients with spinal type of DCS were treated with recompression therapy, 16 patients by table 6, 31 by 6a, and 21 by 6a1. We reviewed the outcome of motor power before and after each treatment. And we investigated age, diving experience, depth of dive, bottom time of dive, and onset of treatment before the treatment in each treatment group. Results : There were no sig-nificant differences between each treatment group in age, diving experience, depth of dive, bottom time of dive, onset of treatment and the grade of motor power before the treatment. Marked motor power improvements were noticed in 59.6% (table 6; 18.7%, 6a; 74.2%, and 6a1; 81%). There were significant differences of motor power improvement between groups 6 and 6a (p=0.0057), 6 and 6a1 (p=0.0053) and 6a and 6a1 (p=0.0139). Conclusions : We think that table 6a1 should be used in spinal type of DCS. And table 6 is not useful in spinal type DCS.Key Words : Decompression sickness, Hyperbaric oxygen therapy, USN treatment table"