存在低氧血症风险患者行无痛胃镜检查的护理配合  

Nursing care of painless gastroscopy in patients with presence of hypoxemia risk

作　　者：杜芬[1] 朱汉敏[1] 刘玲[2] 王玉荣[3] 刘立新[3] 

机构地区：[1]湖北省黄石市第二医院消化内科,435000 [2]湖北省黄石市第二医院护理部,435000 [3]湖北省黄石市第二医院胃镜室,435000

出　　处：《中华现代护理杂志》2013年第29期3629-3630,共2页Chinese Journal of Modern Nursing

摘　　要：目的 探讨存在低氧血症风险的患者行无痛胃镜检查的安全性,并总结护理配合经验.方法 将2010年5月至2012年10月行无痛胃镜检查的207例患者纳入研究,均合并肥胖、高龄、大量吸烟和慢性阻塞性肺疾病等危险因素.分析检查中低氧血症发生情况及护理配合特点.结果 207例患者中有87例（42.0％）患者在无痛胃镜检查发生低氧血症.85例患者经加大氧流量、高频呼吸机辅助通气后低氧血症得到纠正,2例患者终止检查后给予经面罩给氧恢复并完成普通胃镜检查.结论 存在高危因素的患者行无痛胃镜检查时低氧血症发生率较高,检查前护理评估和预吸氧处理,检查时加强呼吸功能监测、呼吸道管理和医护配合是检查顺利完成,减少低氧血症风险的重要保障.Objective To explore the safety of undergoing painless gastroscopy in patients with presence of hypoxemia risk,and summarize the nursing experience.Methods Two hundreds and seven patients undergoing painless gastroscopy from May 2010 to October 2012 were enrolled in this study,who combined with the risk of obesity,age,smoking and chronic obstructive pulmonary disease,etc..The characteristics of hypoxemia and nursing care were analyzed.Results Eighty-seven patients （87/207,42％） occurred hypoxemia in painless gastroscopy,85 cases of which were corrected after increasing oxygen flow and giving high frequency breathing machine ventilation,and 2 cases of which terminated the inspection and recovered after giving mask oxygen and completed the conventional gastroscopy.Conclusions The incidence of hypoxemia in patients with risk factors and painless gastroscopy is higher.Nursing assessment and pre-oxygenation treatment before examination,enhancement the monitoring of respiratory function,management of respiratory tract and cooperation of doctors and nursesnursing are important guarantees to complete examination and reduce hypoxemia risk.

关 键 词：胃镜 低氧血症 护理 

分 类 号：R472[医药卫生—护理学]