血气分析监测在临床中的应用研究  

Clinical Application Study on Blood Gas Analysis and Monitoring

作　　者：李友伟[1] 杨秀英 LI You-wei;YANG Xiu-ying(An＇yue County the Third People＇s Hospital of Sichuan, Sichuan Anyue 64235)

机构地区：[1]安岳县第三人民医院,四川安岳642350

出　　处：《世界最新医学信息文摘》2018年第5期13-14,共2页World Latest Medicine Information Electronic Version

摘　　要：目的引起临床急诊科、重症医学科医生对血气分析监测的高度重视,对患者机体内环境酸碱平衡、电解质、氧分压、CO_2分压、Lac高度重视,以探讨血气监测对患者治疗的影响及相应治疗策略。方法回顾性分析2014年06月至2015年05月院内患者诊断为呼吸衰竭192例患者,192例患者均有口唇发绀、呼吸困难、咳嗽、咯痰、胸闷、心慌、气短、心率快等表现,不限Ⅰ型或Ⅱ型呼吸衰竭,年龄不受限制,性别不受限制,特殊不良嗜好(如吸烟)不受限制,随机分组,96例患者监测血气成为观察组,96例不监测血气成为对照组。结果监测血气观察组,根据血气分析变化合理调整治疗,特别是对氧疗的干预。注意电解质补充,发生医源性碱中毒及时纠正,更好地指导治疗,能及时准确判断病情,精确及时抢救治疗,94例好转,2例无效,有效治疗率97.9%,患者住院时间明显少于1周(平均住院d数5.56d);不监测血气对照组,不能及时准确判断病情,靠临床症状判断,不精确不及时抢救治疗,78例好转,18例无好转,有效治疗率81.3%,患者住院时间超1周(平均住院d数7.48 d),两组间比较,差异有统计学意义(P<0.05)。结论在临床中呼吸衰竭患者监测血气分析能及时判断病情、采取相应治疗措施及时精确治疗,治疗效果理想,住院治疗时间、d数缩短,值得临床广泛应用。Objective To attract attention of clinical emergency department, ICU doctors to blood gas analysis monitoring, to acid-base balance, electrolytes, oxygen partial pressure, CO_2 partial pressure, Lac of patient＇s internal environment, and explore treatment effect of blood gas monitoring and corresponding strategies for patients. MethodsReview and analyze 192 cases respiratory failure patients in our hospital from June 2014 to May 2015, with sysptoms of cyanosis, dyspnea, cough, expectoration, chest pain, palpitation, breath shortness, fast heart rate, no limits for I or II type respiratory failure, age, gender, special bad habits（such as smoking）. Grouping randomly, 96 cases with blood gas monitoring were included in observation group, 96 cases without blood gas monitoring as control group. Results For observation group of blood gas monitoring, adjust treatment based on blood gas analysis changes reasonably, especially intervention of oxygen therapy. Pay attention to electrolyte supplement, correct iatrogenic alkalosis promptly, guide treatment better, diagnose disease, resuce timely and accurately, 94 cases improved, 2 cases ineffective, with treatment effective rate of 97.9%, hospitalization time of patients was significantly less than 1 week（with average hospitalized time of 5.56 d）. For control group with no blood gas monitoring, doctores can not diagnosis disease timely and accurately, rescue and treat accurately and timely based on clinical symptoms, 78 cases improved, 18 cases no improvement, with effective rate of 81.3%, hospitalization time was over 1 week（average hospitalization time was 7.48 d）, difference showed statistical significance between two groups（P〈0.05）. Conclusion Blood gas analysis monitoring can diagnose disease of respiratory failure patients timely, take corresponding treatment measures, treat disease timely and precisely with ideal treatment effect and short hospitalization time, which is worthy of wide clinical application in clinical practice.

关 键 词：血气分析监测 精确治疗 住院时间 

分 类 号：R459.7[医药卫生—急诊医学]