引起腹部外科重大疾病术后SpO2下降的危险因素及护理干预措施  

Risk factors and nursing interventions of oxygen desaturation after major disease critical abdominal surgery

作　　者：梁惠 

机构地区：[1]郑州市第九人民医院,450053

出　　处：《国际医药卫生导报》2014年第10期1449-1452,共4页International Medicine and Health Guidance News

摘　　要：目的 探讨患者术后血氧饱和度（SpO2）下降的相关危险因素及提出相应的护理措施.方法 选取60例腹部外科重大疾病术后患者,监测术后SpO2变化.结果 患者术后SpO2均出现不同程度的下降,其中SpO2在95％以上者23例,低于95％者37例;术后3h时VAS评分为（5.83±1.81）分;术后并发症发生率为23.33％;非条件多因素Logistic回归分析结果显示患者合并高血压病、术后疼痛程度较重、术后发生并发症、有吸烟史是引起术后SpO2下降的独立危险因素（P＜0.05）.结论 合并高血压病、术后疼痛程度较重、术后发生并发症、有吸烟史是引起腹部外科重大疾病患者术后SpO2异常的独立危险因素,分析可能引起患者术后SpO2下降的危险因素,进行相关预见性的护理措施,有利于降低患者低氧血症的发生.Objective To investigate risk factors and nursing interventions of postoperative oxygen desaturation.Method Monitored SpO2 change of 60 patients after major disease critical abdominal surgery.Results SpO2 postoperative declined in varying degrees,with 23 cases SpO2 ＞ 95％,37 cases SpO2 ＜ 95％.VAS score 3 hours after surgery was （5.83 ± 1.81）.The incidence of postoperative complications was 23.33％.Non-conditional Logistic regression analysis showed that independent risk factors of postoperative oxygen desaturation were hypertension,severe postoperative pain,postoperative complications and history of smoking （P ＜ 0.05）.Conclusions Hypertension,severe postoperative pain,postoperative complications and history of smoking are independent risk factors of oxygen desaturation after major disease critical abdominal surgery.Analysis of risk factors which may cause postoperative oxygen desaturation and making relevant foreseen nursing interventions are helpful to reducing the incidence of hypoxemia.

关 键 词：外科 重大疾病 血氧饱和度 危险因素 护理 

分 类 号：R473.6[医药卫生—护理学]