无痛胃镜的给氧模式.docVIP

无痛胃镜的给氧模式摘要目的 探讨无痛胃镜检查过程中的最佳给氧模式。 方法 476名无痛胃镜受检者，根据给氧方式随机分为6组：未给预吸氧组（麻醉注入时开始给氧）：术中氧流量2-3L/min（Ⅰ组）、3-4L/min（Ⅲ组）、4-5L/min（Ⅴ组）。预吸氧组（麻醉前2min开始给氧2-3L/min）：术中氧流量2-3L/min（Ⅱ组）、3-4L/min（Ⅳ组）、4-5L/min（Ⅵ组）。记录受检者术前、预吸氧后、麻醉后2min、术中、术后的呼吸次数和SO2。结果 麻醉后受检者SO2出现不同程度的下降，多数在麻醉后2min内达最低值，此时预吸氧组的SO2值较未预吸氧组高 (P0.05)。同样，预吸氧组低氧血症的发生率（13/93、8/95、10/91），明显低于未预吸氧组（28/98、22/94、27/95）（P0.05或 P0.01）。而SO2水平、低氧血症发生率方面，不同氧流量的预吸氧组间比较和未给预吸氧组间比较无统计学差异。结论 预吸氧后鼻导管给氧2-3L/min是无痛胃镜检查过程中安全、有效、简便的给氧模式。 关键词：胃镜检查 氧流量 预吸氧 脉搏血氧饱和度 低氧血症xygen offering way in painless gastroscopy YANG li-hong1，MEI zhe-chuan1，LV lin1，ZHANG jian-qing1，SHEN wei1，JI dao-ru1，YANG yun-ping2(1 The Second Affiliated Hospital,Chongqing Medical University,400010 2 The First Affiliated Hospital,Chongqing Medical University,400010) 【】o explore the best way of oxygen offering in painless gastroscopy.Methods 476 clients randomly divided into six groups based on the oxygen method：Without pre-oxygenation groups (oxygen-supply begins as well as the anesthesia): intranperative oxygen flow 2-3L/min (group Ⅰ)、3-4L/min (group Ⅲ)、4-5L/min (group Ⅴ).Pre-oxygenation groups (oxygen-supply begins at 2-3L/min two minutes before the anesthesia): intranperative oxygen flow 2-3L/min (group Ⅱ)、3-4L/min (groupⅣ)、4-5L/min (group Ⅵ). Observe and record the respiratory rates and SpO2 of the clients under different circumstances, including the preoperative, after the pre-oxygenation, and two minutes after the anesthetizing, and intranperative, and postoperative.Results The SpO2 decreased in different degrees after the anesthetizing and most of them reached the lowest within 2 min, and the SpO2 of pre-oxygenation group is a little bit higher than the without pre-oxygenation ones’ (P0.05).And similarly, the incidence of the hypoxemia of the pre-oxygenation group (13/93、8/95、10/91) is obviously lower than the non-preoxygenation ones’ (28/98、22/94、27/95)（p0.05or P0.01）.However，in terms of the level of SpO2 and the incidence of hypoxemia, there are no statistical signific