老年患者鼻塞给氧联合高氧液对术中动脉氧含量的影响.docVIP

精品论文 参考文献 老年患者鼻塞给氧联合高氧液对术中动脉氧含量的影响 易红陈维芊唐翠明梁柳芳练敏陈海奕陈光罗俊青陈霞通讯作者 　　广西医科大学附属第四医院手术室广西柳州545005 　　作者简介：易红（1963—），女，湖北，本科，副主任护师，护士长，从事手术室护理工作 　　基金项目：广西壮族自治区卫生厅自筹课题（Z 2011487） 　　【摘要】 　　目的：分析老年患者采用鼻塞给氧联合高氧液对术中动脉氧含量的影响。方法：选择我院2011年6月2013年11月60例硬膜外麻醉的老年患者，按病人住院号的单双随机分为两组，单号为对照组，双号为联合组。对照组30例患者采用常规鼻塞给氧，联合组30例患者在对照组基础上给予高氧液静脉输入，观察麻醉前、麻醉后15、30、45、60 min动脉氧分压（PaO2）及动脉血氧饱和度（SaO2）变化。并记录两组患者术中动脉血氧指标发生情况。结果：两组患者麻醉穿刺前PaO2、SaO2水平比较差异无显著性(P＞005)。麻醉穿刺后15min、30min、45min、60minPaO2、SaO2水平两组均明显上升，但联合组上升幅度明显高于对照组，组间比较差异具有显著性（P＜001)。联合组低氧血症发生率明显低于对照组，组间比较差异具有显著性（Plt;005）。结论：高氧液静脉输入是一种全新的氧供途径，可改善老年外科手术患者硬膜外麻醉术中动脉血氧量，从而大大降低了术后低氧血症的发生率。 　　【关键词】老年人；鼻塞给氧；高氧液；动脉氧；分析 　　Effects of nasal oxygen combined with high liquid oxygen on the arterial oxygen contents of the elderly patients during operation 　　Hong Yi，Weiqian Chen，Cuiming Tang，Liufang Liang，Min Lian，Haiyi Chen，Guang Chen，Junqing Luo，Corresponding author: Xia Chen 　　Operating theatre，the Fourth Affiliated Hospital of Guangxi Medical University，Liuzhou City，Guangxi Province，545005） 　　【Abstract】 　　Objective: The objective of the present study was to investigate the effects of nasal oxygen combined with high liquid oxygen on the arterial oxygen contents of the elderly patients during operation. Methods: Sixty cases of epidural anesthesia elderly patients were enrolled in our hospital from June of the year 2011 to November of the year 2013 The patients were randomly divided into two groups according to the single and double admission numbers of the patients: The single admission number was the control group and the double admission number was the combination group. The 30 cases of patients in the control group received routine nasal oxygen，while the 30 patients in the combination group received routine nasal oxygen combined with high fluid oxygen infusion. The changes of arterial oxygen pressure (PaO2）and the saturation of arterial blood oxygen (SaO2）before anesthesia and 15 min，30 min，45 min and 60 min after anesthesia were observed. Arterial o