预防辅助吸氧呼吸并发症的呼吸监测  

The respiratory monitoring of preventing respiratory complications during auxiliary oxygen

作　　者：严艳[1] 高伟[1] 崔晓光[1] 

机构地区：[1]哈尔滨医科大学附属第二医院麻醉科,150086

出　　处：《国际麻醉学与复苏杂志》2014年第5期450-452,共3页International Journal of Anesthesiology and Resuscitation

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 pulseoximetry，SpO2）监测、二氧化碳描记图、经皮氧分压／Z．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。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 （Sp02） 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.

关 键 词：辅助吸氧 呼吸并发症 监测 自主呼吸 

分 类 号：R563[医药卫生—呼吸系统]