二氧化碳图及其在呼吸系统疾病中的应用及进展  

Applications and advances of capnography in respiratory diseases

作　　者：耿茜 高怡[1] 王译民 郑劲平[1] Geng Qian;Gao Yi;Wang Yimin;Zheng Jinping(The First Affiliated Hospital of Guangzhou Medical University,Guangzhou Institute of Respiratory Health,National Clinical Research Center for Respiratory Disease,State Key Laboratory of Respiratory Disease,Guangzhou 510120,China)

机构地区：[1]广州医科大学附属第一医院广州呼吸健康研究院国家呼吸系统疾病临床医学研究中心呼吸疾病国家重点实验室,510120

出　　处：《国际呼吸杂志》2021年第9期709-715,共7页International Journal of Respiration

基　　金：国家重点研发计划(2018YFC1311900);国家科技支撑计划(2015BAI12B10)。

摘　　要：呼出气二氧化碳图既往主要用于麻醉、重症监护等领域,但随着设备技术发展,衍生多个测量参数,使其不再局限于监护范畴,而是作为类似一种肺功能检测方法应用于呼吸系统疾病。该技术简单且无创,对患者的配合度要求相对较小。其部分指标与其他肺功能指标的相关性提示二氧化碳图检查可在呼吸系统疾病的筛查诊断、病情严重程度判定以及治疗效果评估中发挥作用;其联合血气分析也可作为肺栓塞的初筛依据。本文综述了呼出气二氧化碳检测技术,介绍了2种二氧化碳图阶段特征及其测量指标,并总结了呼出气二氧化碳图在呼吸系统疾病中的应用及作为肺功能检查技术的优缺点。The capnography has been mainly used in the fields of anaesthesia and intensive care.With the development of technology,parameters were derived,so that it is no longer limited to the intensive care,but used in respiratory diseases as a pulmonary function test method.The capnography is a simple and noninvasive technique,which requires relatively little coordination from patients.The correlation between the capnography parameters and pulmonary function parameters suggests that capnography can play a role in screening and diagnosing respiratory diseases,assessing the severity of the diseases,and evaluating therapeutic effects.Capnography combined with blood gas analysis can also be used as a primary screening tool for pulmonary embolism.This review summarizes the measuring methods of exhaled carbon dioxide,characteristics and the derived parameters of the capnography.The clinical application,advantages and disadvantages of capnography as a pulmonary function test in respiratory diseases are also discussed in this review.

关 键 词：二氧化碳图 肺功能检查 呼吸系统疾病 

分 类 号：R56[医药卫生—呼吸系统]