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Normal Pressure Oxygen Therapy
Oxygen therapy can be classified into normal pressure oxygen therapy and hyperbaric oxygen therapy; self oxygen therapy and professional oxygen therapy as well. All kinds of self oxygen therapy are all normal pressure oxygen therapy.

Normal pressure oxygen therapy indicates absorbing oxygen under normal air pressure. Oxygen resource of normal-pressure oxygen therapy must be the pure oxygen conforming to medical oxygen supply standard, that's to say its oxygen concentration must not below 99.5%. However, the normal-pressure oxygen therapy usually adopts single-side earplug to absorb pure oxygen but non-closed type breathing mask can be adopted as well. In this way, the pure oxygen absorbed will mix with ambient air absorbed through the other nostril in nasal cavity or mix with ambient air in breathing mark so that the oxygen entering into tracheal is the oxygen-rich air whose oxygen content is 23 ~ 26% approximately.

Calculation Formula of Oxygen Concentration in Normal Pressure Oxygen Therapy:

Concentration of absorbed oxygen (%) 一 21 + 4×pure oxygen supply flux/min

For instance, when pure oxygen supply flux is 1L/min every minute the concentration of absorbed oxygen is 25%.

Normal-pressure low-flux oxygen supply can do obvious effect. When the oxygen content of absorbed air increases up to 24% from 21% which is at normal atmosphere, the oxygen partial pressure inside organism can enhance up to 45mmHg from 30mmHg.

Beijing Fuxing Hospital Kidney Internal Medicine once carried through a scientific experiment: patients with chronic renal failure will turn into classic oxygen deficient condition after accepting acetate hemodialysis and will recover gradually only after 24 hours generally. The doctors chose 20 trial volunteers which have no disease on heart and lung from patients with late-stage renal failure, and then take the blood from them to measure blood oxygen content 30 minutes later since them accepting hemodialysis. After that, the doctors let them absorb oxygen at different flux immediately. When they finish absorbing oxygen, the doctors will take blood from them to measure blood oxygen content again. Experimental results see the form.

Experimental result of blood oxygen content enhancement after oxygen absorption

Trial Volunteers Grouping

1

2

3

4

Equalizing value of arterial partial pressure of oxygen before oxygen absorption

98.5mmHg

78.6mmHg

91mmHg

71.1mmHg


Oxygen absorption time

25 minutes

15 minutes

15 minutes

15 minutes

Oxygen absorption flux/Min

300 ml

400 ml

1500 ml

1500 ml

Equalizing value of arterial partial pressure of oxygen after oxygen absorption

113.1mmHg

106.45mmHg

142.6mmHg


129.9mmHg

Increased equalizing value of arterial partial pressure of oxygen

14.6mmHg

27.9mmHg

51.6mmHg

58.8mmHg

Untoward reaction

Non

Non

Non

Non

Beijing Jishuitan Hospital Emergency Treatment Section also carried through clinical observation on oxygen absorption at one time. Among 30 male and female patients for emergency treatment, 12 cases are emphysema or bronchial asthma acute attacks, 10 cases are coronary heart disease, paroxysmal angina and heart failure and others are 3 cases of pulmonary heart disease Ⅱ grade heart failure, 2 cases of chronic bronchitis, 1 case of cerebral infarction, 1 case of spontaneous pneumothorax and 1 case of hysteria.

After these patients for emergency treatment absorbed oxygen for 20 ~ 30 minutes (500 ~ 1000ml/min), their critical symptoms all got efficiently alleviated. According to effective and apparent effect standards (systolic pressure of high blood pressure descending 10mmHg or above means apparently effective, over-speed heart rate descending 10 times or so means effective and 20 times means apparently effective, patients stuffy in the chest descending 4 times/min means effective and above 4 times/min means apparently effective and double lung singing of patients feeling much oppressed descending one + means effective and two + means apparently effective), the total effective rate reached 100% and apparently-effective rate reached 13%.Considering oxygen absorption is one of necessary first aid treatments, effect mentioned above completely proves excellent effect of normal-pressure oxygen supply used in emergency treatment. Therefore, normal-pressure oxygen therapy is effective and safe and especially suitable for self oxygen therapy, self oxygen health care and first aid.

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