ICU氧疗患者高氧血症状况调查分析  

Investigation on hyperoxemia in patients receiving oxygen therapy in ICU

作　　者：孙建华 赵明曦 李若祎 候锦 陶秋艳 李尊柱 罗红波 李奇 Sun Jianhua;Zhao Mingxi;Li Ruoyi;Hou Jin;Tao Qiuyan;Li Zunzhu;Luo Hongbo;Li Qi(Department of Intensive Care Medicine,Chinese Academy of Medical Sciences,Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院重症医学科,北京100730 [2]中国医学科学院北京协和医学院护理学院

出　　处：《护理学杂志》2020年第22期8-10,共3页Journal of Nursing Science

基　　金：北京协和医院护理科研基金项目(XHHLKY201903)。

摘　　要：目的调查ICU氧疗患者高氧血症的发生现状,为进一步规范氧疗提供依据。方法采用便利抽样的方法,选取ICU住院且接受氧疗的患者作为研究对象;调查不同氧疗方式下高氧血症的发生情况。结果共纳入1007例氧疗患者,其中高氧血症376例(37.34%)、SpO 2>0.98的患者579例(57.50%)。不同氧疗方式组间高氧血症发生率、SpO 2情况及结局指标比较,差异有统计学意义(P<0.05,P<0.01)。面罩吸氧或T管吸氧时,SpO 2>0.98发生率高于双鼻导管吸氧或机械通气。结论ICU氧疗患者高氧血症发生率处于较高水平,应重视高氧血症的危害,减少过度氧疗导致的高氧血症,纠正传统氧疗观念,实施正确氧疗。Objective To describe the current situation of hyperoxemia in ICU patients on oxygen therapy,and to provide references for standardization of oxygen therapy.Methods The patients receiving oxygen therapy were selected by convenience sampling method.The incidence rates of hyperoxemia under different ways of oxygen therapy were described.Results A total of 1007 patients on oxygen therapy were included,of whom,376 patients(37.34%)had hyperoxemia and 579 patients(57.50%)had SpO 2>0.98.The difference in incidence rates of hyperoxemia,SpO 2,and outcomes between different ways of oxygen therapy were statistically significant(P<0.05,P<0.01).Compared with patients receiving oxygen therapy via double nasal catheter or mechanical ventilation,patients receiving oxygen therapy via mask or T tube were more likely to have their SpO 2>0.98.Conclusion In ICU,the incidence rate of hyperoxemia in patients receiving oxygen therapy is at a high level.In clinical practice,nurses should pay attention to the harm of hyperoxemia,take measures to reduce hyperoxemia induced by oxygen therapy,correct the traditional fallacy regarding oxygen therapy,and provide proper oxygen therapy to patients.

关 键 词：重症患者 重症监护 氧气治疗 高氧血症 氧饱和度 给氧方式 机械通气 

分 类 号：R472[医药卫生—护理学] R459.6[医药卫生—临床医学]