便携式脉搏血氧仪在老年患者无痛胃镜检查后复苏过程中的应用价值
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摘要
目的:探讨便携式脉搏血氧仪在老年患者无痛胃镜检查后复苏过程中的应用价值。方法:选取在医院门诊行无痛胃镜检查的100例老年患者,根据患者在复苏过程中给氧方式不同,将其分为观察组和对照组,每组50例。对照组患者检查后在复苏室苏醒过程中给予低流量(3 L/min)鼻导管吸氧;观察组患者在复苏室苏醒过程中在给予低流量(3 L/min)鼻导管吸氧的基础上采用便携式脉搏血氧仪,根据便携式脉搏血氧仪监测的血氧饱和度结果给予调整吸氧时间。比较两组患者在复苏室的麻醉苏醒时间、吸氧时间以及离开复苏室时间。结果:两组患者进入复苏室后,苏醒时间及离开复苏室时间比较,差异均无统计学意义。而对照组患者吸氧时间明显大于观察组,二者比较差异有统计学意义(t=3.961,P<0.01)。结论:在老年患者无痛胃镜检查后复苏过程中,根据便携式脉搏血氧仪监测血氧饱和度的结果调整给氧时间,可避免主观判断盲目给氧造成的不足,真正做到合理有效的用氧,减少资源浪费,值得提倡推广。
Objective: To explore the application value of portable pulse oximeter in resuscitation post painless gastroscopy of senile patient. Methods: 100 senile patients who underwent painless gastroscopy at the outpatient of hospital were selected, and all of them were divided into observation group(50 cases) and control group(50 cases) according to the different oxygen supply methods during the resuscitation process. The patients of control group received low-flow(3 L/min) oxygen by nasal catheter during the resuscitation process post painless gastroscopy. The patients of observation group received the monitoring of portable pulse oximeter on the basis of low-flow(3 L/min) oxygen by nasal catheter during the resuscitation process post painless gastroscopy, and the oxygen uptake times of them were adjusted based on the results of the degree of blood oxygen saturation that was monitored by portable pulse oximeter. And then the awakening time post anesthesia, oxygen uptake time and the time of away from resuscitation room between the two groups were compared. Results: The differences of awakening time post anesthesia and the time of away from resuscitation room after they entered into resuscitation room between the two groups were no significant. While the oxygen uptake time of the control group was significantly longer than that of observation group(t=3.961, P<0.01). Conclusion: In the resuscitation process post painless gastroscopy of senile patients, according to the result that portable pulse oximeter monitors the degree of oxygen saturation to adjust the oxygen supply time can avoid the disadvantages of blind oxygen supply based on subjective judgment, and can truly and effectively use oxygen, and can reduce waste of resources. Therefore, it is worth to be promoted and popularized.
Objective: To explore the application value of portable pulse oximeter in resuscitation post painless gastroscopy of senile patient. Methods: 100 senile patients who underwent painless gastroscopy at the outpatient of hospital were selected, and all of them were divided into observation group(50 cases) and control group(50 cases) according to the different oxygen supply methods during the resuscitation process. The patients of control group received low-flow(3 L/min) oxygen by nasal catheter during the resuscitation process post painless gastroscopy. The patients of observation group received the monitoring of portable pulse oximeter on the basis of low-flow(3 L/min) oxygen by nasal catheter during the resuscitation process post painless gastroscopy, and the oxygen uptake times of them were adjusted based on the results of the degree of blood oxygen saturation that was monitored by portable pulse oximeter. And then the awakening time post anesthesia, oxygen uptake time and the time of away from resuscitation room between the two groups were compared. Results: The differences of awakening time post anesthesia and the time of away from resuscitation room after they entered into resuscitation room between the two groups were no significant. While the oxygen uptake time of the control group was significantly longer than that of observation group(t=3.961, P<0.01). Conclusion: In the resuscitation process post painless gastroscopy of senile patients, according to the result that portable pulse oximeter monitors the degree of oxygen saturation to adjust the oxygen supply time can avoid the disadvantages of blind oxygen supply based on subjective judgment, and can truly and effectively use oxygen, and can reduce waste of resources. Therefore, it is worth to be promoted and popularized.
引文
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[2]容青霖,肖运珠,杨旺丰.老年无痛胃镜术中地佐辛复合丙泊酚麻醉的使用效果[J].华夏医学,2016,29(4):67-68.
[3]王惠莹,郑少冰,陈映兰,等.血氧饱和度监测仪用于腹部术后低氧血症监测的临床意义[J].护理研究,2009,23(5A):1178-1179.
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[7]刘亚栋.右美托咪定复合丙泊酚在老年患者无痛胃镜中的应用价值分析[J].中外女性健康研究,2016(12):61-64.
[8]刘馨蔓,杨莹莹,曹艳.老年患者无痛胃镜检查200例护理体会[J].现代医药卫生,2013,29(18):2824-2825.
[9]陈虎,王小云.依托咪酯脂肪乳-丙泊酚混合液在老年无痛胃镜中的临床应用效果[J].中国医学创新,2017,14(3):108-111.
[10]衡正军,肖春玲.浅议脉搏血氧仪在院前急救中的重要性[J].中国医药指南,2014,12(31):190-191.
[11]刘娜.在院前急救工作中应用脉搏血氧仪的作用及重要性[J].中国医疗器械信息,2016,22(14):22-23.
[12]纪明,陈宏伟.脉搏血氧仪在老年冠心病患者经挠动脉途径经皮冠状动脉介入治疗术后挠动脉迫止血中的应用效果[J].实用心脑肺血管病杂志,2017,25(9):89-91.
[13]靳红霞,王艳芳.脉搏血氧饱和度监护在ICU的应用[J].卫生职业教育,2004,22(8):110-111.
[14]胡湘玉,马文侠.无痛胃镜的临床管理[J].中国实用医药,2016,11(14):263-265.
[15]王雪纯,罗洋,蔡丹.便携式脉搏血氧饱和度测量仪在肺癌患者中的应用效果观察[J].护理学报,2016,23(1):65-67.
[16]陈晓晓.脉搏血氧仪对呼吸疾病患者的使用[J].转化医学电子杂志,2015,2(11):142-143.
[17]杨艳红,李贤.脉搏血氧仪监测结果误差分析及对策[J].中日友好医院学报,2007,21(6):376-376.
[18]张筑华,李红灵,黄涛,等.预吸氧对丙泊酚麻醉在老年患者无痛胃镜检查中的安全性[J].临床麻醉学杂志,2010,26(9):815.
[19]李跃川,缪秀华,蔡美如.老年患者无痛胃镜术安全性研究[J].苏州大学学报(医学版),2007,27(6):985-986.
[2]容青霖,肖运珠,杨旺丰.老年无痛胃镜术中地佐辛复合丙泊酚麻醉的使用效果[J].华夏医学,2016,29(4):67-68.
[3]王惠莹,郑少冰,陈映兰,等.血氧饱和度监测仪用于腹部术后低氧血症监测的临床意义[J].护理研究,2009,23(5A):1178-1179.
[4]陈小琼,张万里.指夹式血氧仪测量血氧饱和度纳入入院流程的意义[J].中国现代医生,2017,55(14):76-78.
[5]王建国.老年患者无痛胃镜的安全性研究[J].医药论坛杂志,2014,35(11):112-113.
[6]何湘俊.脉搏血氧仪在重症监护中的应用观察[J].中国保健营养(下旬刊),2012,22(4):420-420.
[7]刘亚栋.右美托咪定复合丙泊酚在老年患者无痛胃镜中的应用价值分析[J].中外女性健康研究,2016(12):61-64.
[8]刘馨蔓,杨莹莹,曹艳.老年患者无痛胃镜检查200例护理体会[J].现代医药卫生,2013,29(18):2824-2825.
[9]陈虎,王小云.依托咪酯脂肪乳-丙泊酚混合液在老年无痛胃镜中的临床应用效果[J].中国医学创新,2017,14(3):108-111.
[10]衡正军,肖春玲.浅议脉搏血氧仪在院前急救中的重要性[J].中国医药指南,2014,12(31):190-191.
[11]刘娜.在院前急救工作中应用脉搏血氧仪的作用及重要性[J].中国医疗器械信息,2016,22(14):22-23.
[12]纪明,陈宏伟.脉搏血氧仪在老年冠心病患者经挠动脉途径经皮冠状动脉介入治疗术后挠动脉迫止血中的应用效果[J].实用心脑肺血管病杂志,2017,25(9):89-91.
[13]靳红霞,王艳芳.脉搏血氧饱和度监护在ICU的应用[J].卫生职业教育,2004,22(8):110-111.
[14]胡湘玉,马文侠.无痛胃镜的临床管理[J].中国实用医药,2016,11(14):263-265.
[15]王雪纯,罗洋,蔡丹.便携式脉搏血氧饱和度测量仪在肺癌患者中的应用效果观察[J].护理学报,2016,23(1):65-67.
[16]陈晓晓.脉搏血氧仪对呼吸疾病患者的使用[J].转化医学电子杂志,2015,2(11):142-143.
[17]杨艳红,李贤.脉搏血氧仪监测结果误差分析及对策[J].中日友好医院学报,2007,21(6):376-376.
[18]张筑华,李红灵,黄涛,等.预吸氧对丙泊酚麻醉在老年患者无痛胃镜检查中的安全性[J].临床麻醉学杂志,2010,26(9):815.
[19]李跃川,缪秀华,蔡美如.老年患者无痛胃镜术安全性研究[J].苏州大学学报(医学版),2007,27(6):985-986.