RESUMEN

INTRODUCTION: Many fisherman divers in Vietnam suffer from decompression sickness (DCS) causing joint pain, severe neurological deficit or even death. The objective of this pilot study was to evaluate the effectiveness of a training programme to prevent DCS and also treat DCS using the method of in-water recompression (IWR). METHODS: 63 divers were interviewed and trained over a period of 3 years from 2009. Fifty one per cent of all trained divers were reinterviewed in 2011-2012 to collect mortality and morbidity data as well as information on changes in diving practices. RESULTS: Since 2009, most fisherman divers have changed their practices by reducing bottom time or depth. Mortality was reduced and the incidence of severe neurological DCS decreased by 75%. Twenty four cases of DCS were treated by IWR. Ten cases of joint pain were treated with IWR using air, affording immediate relief in all cases. Out of 10 cases of neurological DCS, 4/4 recovered completely after IWR with oxygen whereas only 2/6 subjects recovered immediately after IWR with air. In addition, 3/4 further cases of DCS treated with IWR using oxygen immediately recovered. CONCLUSIONS: Our results suggest that IWR is effective for severe neurological DCS in remote fishing communities, especially with oxygen.

Asunto(s)

Enfermedad de Descompresión/terapia , Buceo/lesiones , Explotaciones Pesqueras , Enfermedades Profesionales/terapia , Educación del Paciente como Asunto/métodos , Adulto , Enfermedad de Descompresión/epidemiología , Enfermedad de Descompresión/prevención & control , Humanos , Incidencia , Masculino , Enfermedades Profesionales/epidemiología , Enfermedades Profesionales/prevención & control , Oxígeno/administración & dosificación , Proyectos Piloto , Vietnam/epidemiología

RESUMEN

The study carried out pulmonary ventilation functions of 81 professional wrestlers, swimmers, and athletics in Hai Phong by using auto Spiroanalyser - ST 250 from FUKUDA SANGYO of Japan to measure objects in standing position after 15 – 30 minutes of pause. Pulmonary ventilation functions such as VC, FVC and FEV 1% T of wrestles, swimmers and athletics were considerable higher than those of controls. Their PEF, MVV and FV were much higher than those of controls. There was a fast increase of VC, FVC, FEV 1, PEF, MVV and FV after 12 months of training compared with the control group