摘要
目的探讨高流量鼻导管氧疗(HFNO)对无痛内镜下逆行胰胆管造影(ERCP)老年患者术中氧合情况的影响。方法纳入择期行无痛ERCP的老年患者60例,采用随机编码法分为高流量鼻导管氧疗组(HFNO组)及常规氧疗组(COT组),HFNO组给予患者30 L/min纯氧吸入,COT组进行8 L/min流量的氧气吸入,预充氧约3 min后进行麻醉诱导,而后HFNO组将氧流量调节至70 L/min,COT组继续8 L/min流量的氧气吸入,后进行ERCP操作。比较2组患者在诊疗过程中氧合情况的差异。结果HFNO组低氧血症发生率低于COT组[1例(3.33%)比7例(23.33%),P<0.05];HFNO组术中最低血氧饱和度高于COT组,且需干预次数较少(P<0.05);此外,HFNO组外科医生满意度较高,差异有统计学意义;患者诊疗后不良事件差异无统计学意义。结论高流量鼻导管氧疗可有效减少无痛ERCP老年患者术中低氧血症的发生率,在一定程度上改善术中氧合情况。
Objective To investigate the effect of different oxygen therapy on oxygenation in elderly patients undergoing painless ERCP.Methods Sixty elderly patients who were received ERCP were randomly divided into high-flow nasal catheter oxygen therapy group(HFNO group)and common oxygen therapy group(COT group)by random coding method,The patients in the HFNO group were given 30 L/min of oxygen inhalation,and the patients in the COT group were given 8 L/min of oxygen inhalation,and the anesthesia was induced after preoxygenation for about 3min.then,the oxygen flow in the HFNO group was adjusted to 70 L/min,and the patients in the COT group were given 8 L/min of oxygen inhalation.The difference of oxygenation in diagnosis and treatment was compared between the two groups.Results There were 1 case(3.33%)of hypoxemia in HFNO group and 7 cases(23.33%)in COT group(P<0.05).There were statistically significant differences in minimum blood oxygen saturation and times of intervention between the two groups,but there was no significant difference in adverse events in ERCP patients after treatment.The satisfaction of surgeons in HFNO group was higher,which was statistically significant.Conclusions To a certain extent,high flow nasal catheter oxygen therapy can reduce the incidence of hypoxemia in elderly patients undergoing endoscopic retrograde cholangiopancreatography and effectively improve intraoperative oxygenation.
作者
闫婷婷
杨歆璐
高玮
韩寒
宋幽平
疏树华
王胜
周玲
柴小青
Yan Tingting;Yang Xinlu;Gao Wei;Han Han;Song Youping;Shu Shuhua;Wang Sheng;Zhou Ling;Chai Xiaoqing(Department of Respiratory,the First Affiliated Hospital of USTC,Division of Life Sciences and Medicine,University of Science and Technology of China,Hefei 230001,China)
出处
《中国临床保健杂志》
CAS
2022年第6期797-800,共4页
Chinese Journal of Clinical Healthcare
基金
吴阶平医学基金会课题(320.6750.16166)。
关键词
胰胆管造影术
内窥镜逆行
低氧
氧吸入疗法
插管
老年人
Cholangiopancreatography
endoscopic retrograde
Hypoxia
Oxygen inhalation therapy
Cannula
Aged
