肾移植术前高压氧治疗对术后低氧血症发生的影响.PDF

探讨术前实施高压氧治疗对肾移植患者术后低氧血症发生的影响。实验组 55 例肾移植 受者术前实施高压氧治疗，对照组 66 例患者常规实施肾移植术。比较两组患者术后低氧血症发生率、肺部感染率、 卧床吸氧时间、住院时间等方面的差异。实验组 55 例患者术后发生低氧血症 12 例，发生率为 22%，对照 组 66 例患者术后发生低氧血症 20 例，发生率为 30%。实验组发生肺部感染 4 例，发生率为 7%，对照组发生肺 部感染 14 例，发生率为 21%。实验组肾移植术后低氧血症及肺部感染的发生率低于对照组（均为 P0.05 ）。实验 组和对照组患者术后卧床吸氧时间分别为（5.9 ±2.0 ） d 、（6.8 ±2.6 ） d ，住院时间分别为（17.7 ±3.7 ） d 、（20.5 ±4.2 ） d 。 P 实验组患者卧床吸氧时间及住院时间均短于对照组（均为 0.05 ）。 术前实施高压氧治疗可以明显降低肾 移植术后低氧血症及肺部感染的发生率，可以作为肾移植术后低氧血症的常规预防措施。 　高压氧；术前；肾移植；氧饱和度；低氧血症；肺部感染；卧床吸氧；住院时间 R617 ，R459.6　 A　 1674-7445 （2017 ）03-0010-04 Effect of preoperative hyperbaric oxygen therapy on the incidence of hypoxemia after renal transplantation Xia Yang, Fan Mingqi, Huang Chibing. Department of Urology 2, Xinqiao Hospital, the Third Military Medical University, Chongqing 400038, China Corresponding author: Xia Yang, Email Abstract Objective 【 】 To investigate the effect of preoperative hyperbaric oxygen therapy upon the incidence of hypoxemia in patients after renal transplantation. Methods In the experimental group, 55 patients received hyperbaric oxygen therapy prior to renal transplantation, and 66 counterparts in the control group underwent conventional renal transplantation. Postoperatively, the incidence of hypoxemia, pulmonary infection, time of in-bed oxygen inhalation and length of hospital stay were statistically compared between two groups. Results In the experimental group, 12 among 55 patients (22%) presented with hypoxemia after renal transplantation, and 20 of 66 (30%) in the control group. In the experimental group, 4 cases suffered from pulmonary infection with an incidence of 7%, and 14 (21%) in the control group. In the experimental group, the incidences of hypoxemia and pulmonary infection were lower than those in the control group