国际麻醉学与复苏杂志   2014, Issue (5): 5-5
    
预防辅助吸氧呼吸并发症的呼吸监测
严艳, 高伟, 崔晓光1()
1.哈尔滨医科大学附属二院麻醉科
The respiratory monitoring of preventing respiratory complications during auxiliary oxygen
 全文:
摘要:

背景 辅助吸氧有利于预防和治疗自主呼吸患者的低氧血症,却增加了对患者呼吸监测的难度。若呼吸抑制未及时监测、早期发现和处理,可引起呼吸暂停甚至呼吸停止等从而危及患者生命。 目的 综述目前临床上应用的几种监测患者自主呼吸功能的方法。 内容 目前监测呼吸功能的方法包括临床体征观察、脉搏血氧饱和度(oxygen saturation with pulse oximetry, SpO2)监测、二氧化碳描记图、经皮氧分压/二氧化碳分压仪监测。介绍这些方法在临床上应用原理、有效性和优、缺点。 趋向 了解这些监测方法,用于患者呼吸监测及管理,确保患者安全。

关键词: 辅助吸氧; 呼吸并发症; 监测; 自主呼吸
Abstract:

Background Auxiliary oxygen is advantageous to the prevention and treatment of hypoxemia in patients with spontaneous breathing, but increase the difficulty of respiratory function monitoring on the patients. If respiratory depression do not timely monitor, discover and treat, it can lead to apnea or even stop breathing, etc, accordingly endanger the patients’ life. Objective To review the several methods of monitoring patients spontaneous breathing in clinic at present. Content Methods which monitor respiratory function at present include clinical signs observasion, oxygen saturation with pulse oximetry(SpO2)monitoring, capnography, and percutaneous oxygen partial pressure/carbon dioxide partial pressure instrument monitoring. In this paper, it is introduced that the principle and effectiveness of these methods which were used clinically and their advantages and disadvantages. Trend To understand and use these monitoring methods for respiratory monitoring and management of patients, in order to ensure patient safety.

Key words: Auxiliary oxygen; Respiratory complications; Detect; Spontaneously breathing