无痛胃镜给氧模式的探讨.docVIP

无痛胃镜给氧模式的探讨 杨黎鸿 ，梅浙川1，吕 琳1，沈 薇1，季道如2，杨筠平3 （400010 重庆，重庆医科大学附属第二医院：消化内科1，麻醉科2；400042 重庆，重庆医科大学附属第一医院检验科3） [摘要] 目的 探讨无痛胃镜检查过程中的最佳给氧模式。 方法 566例无痛胃镜受检者，按随机数字法分为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SpO2。结果 麻醉后受检者SpO2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SpO2值较未预吸氧组高 (P0.05)。同样，预吸氧组低氧血症的发生率（11/93、8/95、10/91），明显低于未预吸氧组（28/98、25/94、27/95）（P0.05或 P0.01）。而SpO2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 [中图法分类号] R573 [文献标志码] A Oxygen offering way in painless gastroscopy Yang Lihong1,Mei Zhechuan1,Lv Lin1,Sheng Wei1,Ji Daoru2,Yang Yunping 3(1Department of Digestive Diseases,The Second Affiliated Hospital of Chongqing Medical University,Chongqing,400010,China;2Anaesthesiology department,The Second Affiliated Hospital of Chongqing Medical University,Chongqing,400010,China;3Department of Laboratory Medicine,The First Affiliated Hospital of Chongqing Medical University,Chongqing,400016,China) [Abstract] Objective To explore the best way of oxygen offering in painless gastroscopy.Methods 566 clients randomly divided into six groups based on random number：Without pre-oxygenation groups (oxygen-supply begins as well as the anesthesia): intraoperative 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): intraoperative 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 intraoperative, and postoperative.Results The SpO2 decreased in different degrees after the anesthetizing and most of them reached the lowest within 2 min