全身麻醉患者复苏监测呼气末二氧化碳分压波形曲线和数值的价值分析  

The analysis on the value of the waveform curve and quantitative value of end-respiratory carbon dioxide partial pressure in resuscitation monitoring of patients with general anesthesia

作　　者：鲍小强 王凯 李风 Bao Xiaoqiang;Wang Kai;Li Feng(Department of Critical Medicine,Zhejiang Xin′an International Hospital,Zhejiang Jiaxing 314000,China)

机构地区：[1]浙江新安国际医院重症医学科,浙江嘉兴314000

出　　处：《中国医师进修杂志》2020年第4期353-358,共6页Chinese Journal of Postgraduates of Medicine

摘　　要：目的分析全身麻醉患者复苏监测呼吸末二氧化碳分压(PETCO2)波形曲线与数值的价值。方法选取2019年4—9月于浙江新安国际医院行全身麻醉下手术治疗且术后进入麻醉复苏观察室的142例患者,按随机数字表法分为对照组与观察组,每组71例,对照组全身麻醉复苏期间常规监测心电图、血压(BP)、呼吸频率(RR)、脉搏血氧饱和度(SpO2)、动脉血二氧化碳分压(PaCO2)、动脉血氧分压(PaO2),观察组在此基础上连续监测PETCO2波形曲线及数值的变化,记录两组麻醉复苏期间异常事件发生率、检出时间、麻醉苏醒时间及复苏室驻留时间,分析PETCO2与PaCO2的相关性。结果对照组和观察组全身麻醉复苏时RR、BP、SpO2、PaO2均处于正常范围,组间比较差异无统计学意义(P>0.05),观察组PETCO2亦处于正常范围。观察组全身麻醉复苏期间异常事件发生率高于对照组[12.68%(9/71)比7.04%(5/71)],异常事件检出时间、麻醉苏醒时间及复苏室驻留时间短于对照组[(1.61±0.52)min比(2.11±0.69)min、(35.98±10.66)min比(46.75±15.03)min、(62.52±19.63)min比(76.97±15.41)min],差异均有统计学意义(P<0.05)。Pearson直线相关分析显示,PETCO2与SpO2呈负相关(r=-0.335,P=0.004),与PaCO2呈正相关(r=0.751,P<0.001)。结论全身麻醉患者复苏期间监测PETCO2可提高异常事件检出率与检出及时性,促进麻醉恢复,有助于减少不良事件发生。Objective To analyze the value of the waveform curve and quantitative value of end-respiratory carbon dioxide partial pressure(PETCO2)in resuscitation monitoring of patients with general anesthesia.Methods One hundred and forty-two patients who performed operation under general anesthesia and entered into the anesthesia recovery room in Zhejiang Xin′an International Hospital from April 2019 to September 2019 were selected.According to the method of random number table,all the 142 cases were divided into control group and observation group,with 71 cases in each group.Routine monitoring during general anaesthesia resuscitation such as blood pressure(BP),respiratory frequency(RR),blood oxygen saturation(SpO2),arterial partial pressure of carbon dioxide(PaCO2)was performed in the control group.On this basis,changes in PETCO2 waveform curve and quantitative value was continuously monitored in the observation group.The abnormal events rate,checkout time,anesthesia resuscitation time and residence time in the anesthesia recovery room of two groups during anesthesia resuscitation were recorded.Besides,the relationship between PETCO2 and PaCO2 was analyzed.Results The levels of RR,BP,SpO2,PaO2 in both groups were in the normal range during general anesthesia resuscitation,and PETCO2 in the observation group was also in the normal range.During general anesthesia resuscitation,the abnormal events rate in the observation group was was higher than that in the control group:12.68%(9/71)vs.7.04%(5/71);besides,the checkout time of abnormal events,anesthesia resuscitation time and residence time in the anesthesia recovery room in the observation group were shorter than those in the control group:(1.61±0.52)min vs.(2.11±0.69)min,(35.98±10.66)min vs.(46.75±15.03)min and(62.52±19.63)min vs.(76.97±15.41)min,there were significant differences(P<0.05).PETCO2 was negatively correlated with SpO2(r=-0.335,P=0.004),while PETCO2 was positively correlated with PaCO2(r=0.751,P<0.001).Conclusions Monitoring PETCO2 of patients during ge

关 键 词：全身麻醉 复苏 呼气末二氧化碳分压 动脉二氧化碳分压 

分 类 号：R614[医药卫生—麻醉学]