脉搏氧饱和度直方图指导极早早产儿用氧的研究进展  

Research advances in oxygen saturation histogram to guide the respiratory support therapy of very preterm infants

作　　者：朱炜 黄英 庄德义 黄丹 Zhu Wei;Huang Ying;Zhuang Deyi;Huang Dan(Neonatal Intensive Care Unit of Xiamen Children's Hospital,Xiamen Key Laboratory of Neonatal Diseases(Construction Unit of Superior Subspecialty),Xiamen 361006.China)

机构地区：[1]厦门市儿童医院新生儿科,厦门市新生儿疾病重点实验室(优势亚专科建设单位),361006

出　　处：《中国小儿急救医学》2020年第12期933-935,共3页Chinese Pediatric Emergency Medicine

基　　金：厦门市科技计划项目(3502Z20199095)。

摘　　要：在新生儿重症监护室,恰当的呼吸支持及实时准确的血氧评估是早产儿救治中的重要任务,减少缺氧发作及避免过度氧疗可有效改善早产儿病死率及远期预后。近年研究发现,脉搏氧饱和度直方图通过连续监测24 h血氧情况绘制直方图,直观反映呼吸支持早产儿在目标氧饱和度范围内的时间比例以及缺氧、过氧饱和的时间比例,为临床调节呼吸支持参数及呼吸支持方式提供重要依据。本文就极早早产儿目前呼吸支持及脉搏氧饱和度直方图的应用进行综述。In the neonatal intensive care unit,finding proper respiratory support and real-time accurate blood oxygen assessment are important tasks in the treatment of preterm infants.Reducing hypoxic episodes and avoiding excessive oxygen therapy can effectively improve the mortality and long-term prognosis of preterm infants.In recent years,studies have found that the oxygen saturation histogram,a graphic representation of achieved saturations for 24 hours,can show the percentage of time infants achieve goal saturations and the percentage of time above or below goal saturations.It provides important data for clinical regulation of respiratory support parameters and methods.This study reviewed current research on respiratory support and oxygen saturation histograms in preterm infants.

关 键 词：极早早产儿 呼吸支持 脉搏氧饱和度直方图 

分 类 号：R722.6[医药卫生—儿科]