舱内监护系统在不同重症患者高压氧治疗中的应用  

Application of monitoring system in the hyperbaric oxygen chamber in the treatment of critical ill patients

作　　者：刘佳宁[1] 李英[1] 王影[1] 李恩丽[1] 张琳[1] 

机构地区：[1]哈尔滨市第一医院高压氧科,哈尔滨150010

出　　处：《临床急诊杂志》2013年第1期15-16,19,共3页Journal of Clinical Emergency

摘　　要：目的:应用无线多参数遥测监护仪,探讨其对不同重症患者在高压氧(HBO)舱内治疗中的意义。方法:采用无线多参数遥测监护仪对67例患者(排除HBO禁忌证)首次进舱治疗进行监测,连续记录并分析心电、心率、指脉氧饱和度,之后依病情需要进行后续监测。结果:67例患者稳压吸氧段平均心率与升压段比较明显减慢(P<0.05);指脉氧饱和度在稳压吸氧段最高,依次高于减压段和升压段,并与治疗前比较明显升高(P<0.05);19例患者升压段显示心律失常,包括房早、室早、心房纤颤、窦性心动过速、室上速等,经HBO及舱内药物治疗明显改善。不同重症患者HBO舱内监护情况各有不同特点。结论:舱内无线多参数遥测监护仪在不同重症患者HBO治疗中可提供临床诊断和指导治疗的可靠依据,并为HBO舱内急救提供安全保障。Objective：To study the application of multi-parameter telemetry monitor in the hyperbaric oxygen （HBO） chamber in the treatme^nt of critical ill patients. Method： Using telemetry monitor, the continuous records of ECG, heart beats （HB）, oxygen saturation （SpO2） of 67 patients without HBO eontraindications in their first treatment were recorded. Subsequent monitoring according to patients ＇conditions were performed. Result：The av- erage HB of 67 patients during maintenance of pressure were obviously lower than that of eompression（P〈0.05）. SpO2 during maintenance of pressure was the highest,and was significantly higher than that of pre-treatment （P〈0.05）. Nineteen of them displayed various arrhythmias in compression period, which were greatly improved under the treatment of HBO and medicine. Monitoring results of different severe patients in HBO Chamber showed differ- ent characteristics. Conclusion： The multi parameter monitor in HBO chamber may provide reliable evidence for clinical diagnosis and guiding treatment in the treatment of various critical ill patients. Meanwhile,it also improve the safety of treatment in the HBO chamber.

关 键 词：高压氧 多参数监护仪 重症 

分 类 号：R459.6[医药卫生—治疗学]