不同供氧方式纠正重型颅脑损伤病人低氧血症效果观察  

Effect of Two Types of Oxygen Therapy in Serious Head Injury

作　　者：何玉清[1] 郑桂容[1] 舒宗建[1] 肖蔚[1] 张亚辉[1] 

机构地区：[1]重庆三峡中心医院神经外科,重庆404000

出　　处：《护理学杂志（综合版）》2004年第4期14-16,共3页Journal of Nursing Science

摘　　要：目的探讨重型颅脑损伤低氧血症病人的最佳氧疗方式。方法随机将68例重型颅脑损伤病人分成对照组(35例)和观察组(33例),在常规治疗的同时,对照组采用传统的鼻导管给氧;观察组采用舒氧康静脉高压给氧。结果观察组其动脉血氧饱和度、氧分压明显提高,两组比较,差异有显著性意义(均P<0.05);两组病死率比较,差异有显著性意义(P<0.05),而两组心率、血压、pH、PaCO2比较,差异无显著性意义(均P>0.05)。结论使用舒氧康静脉高压给氧较鼻导管给氧更能快速、有效纠正重型颅脑损伤病人缺氧状态,纠正低氧血症。Objective To find the best oxygen therapy for hypoxemia in serious head injury patients. Methods Sixty eight patients with serious head injury receiving oxygen therapy were randomly divided into 2 groups, rhinophore group and venoclysis group. The heart rate, blood pressure and blood oxygen pressures were observed before treatment and 30 min, 45 min, 60 min, 90 min after the treatment. Results The SaO2 was gradually increased in patients who were treated by venoclysis technique. There were significant differences in SaO2 and oxygen pressure between two groups. The heart rate, blood pressure,pH and PaCO2 revealed no difference. Conclusion Oxygen therapy by venoclysis can effectively and immediately improve the hypoxemia in patients with serious head injury.

关 键 词：颅脑损伤 低氧血症 氧疗法 

分 类 号：R459.6[医药卫生—治疗学] R651.1+5[医药卫生—临床医学]