ICU氧疗患者高氧血症发生的影响因素  

Influencing factors of hyperoxemia in ICU patients in oxygen therapy

作　　者：刘金荣[1] 申华[1] 魏湛花 Liu Jinrong;Shen Hua;Wei Zhanhua(Department of Intensive Care Unit,Zhengzhou Second People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市第二人民医院ICU,郑州450000

出　　处：《中国实用医刊》2022年第10期34-37,共4页Chinese Journal of Practical Medicine

摘　　要：目的观察重症监护室(ICU)氧疗患者高氧血症发生情况,并分析诱发ICU氧疗患者高氧血症的影响因素。方法抽取2020年1月至2021年12月郑州市第二人民医院ICU收治的343例氧疗患者。统计ICU氧疗患者高氧血症发生情况,将发生高氧血症的ICU氧疗患者纳入发生组,未发生高氧血症的ICU氧疗患者纳入未发生组,并设计一般人口学资料调查表,分析ICU氧疗患者高氧血症发生的影响因素。结果343例ICU氧疗患者中发生高氧血症127例,发生率为37.03%。发生组年龄、急性生理与慢性健康Ⅱ评分(APACHE-Ⅱ评分)、氧疗方式、高碳酸血症呼吸衰竭与未发生组比较,差异有统计学意义(P<0.05);经多项Logistic回归分析结果显示,年龄≥60岁、APACHE-Ⅱ评分低、面罩吸氧、合并高碳酸血症呼吸衰竭是ICU氧疗患者高氧血症发生的危险因素(OR>1,P<0.05)。结论ICU氧疗患者发生高氧血症的风险较高,其中年龄≥60岁、APACHE-Ⅱ评分低、面罩吸氧、合并高碳酸血症呼吸衰竭可能是ICU氧疗患者高氧血症发生的影响因素。Objective To observe the occurrence of hyperoxemia in patients in oxygen therapy in intensive care unit(ICU),and to analyze the influencing factors of occurrence of hyperoxemia during oxygen therapy in ICU.Methods A total of 343 patients who had oxygen therapy in Zhengzhou Second People’s Hospital from January 2020 to December 2021 were selected.The incidence of hyperoxemia of ICU patients undergoing oxygen therapy was counted.ICU patients undergoing oxygen therapy with hyperoxemia were included in the occurrence group,and ICU patients undergoing oxygen therapy without hyperoxemia were included in the non-occurrence group.And a general demographic data survey was designed.The influencing factors of hyperoxemia in ICU patients undergoing oxygen therapy were analyzed.Results Among 343 ICU patients undergoing oxygen therapy,127 patients(37.03%)had hyperoxia.The age,acute physiology and chronic healthⅡscore(APACHE-Ⅱscore),oxygen therapy method,hypercapnia respiratory failure of the occurrence group were significantly different from those of the non-occurrence group(P<0.05).Results of multivariate Logistic regression analysis showed that age≥60 years,low APACHE-Ⅱscore,mask oxygen inhalation,and hypercapnia respiratory failure were risk factors for hyperoxemia in patients receiving oxygen therapy in ICU(OR>1,P<0.05).Conclusions ICU patients undergoing oxygen therapy have a high risk of developing hyperoxemia.Among them,age≥60 years,low APACHE-Ⅱscore,mask oxygen inhalation,and hypercapnia respiratory failure may be the causes of hyperoxemia in ICU patients with oxygen therapy.

关 键 词：重症监护室 氧疗 高氧血症 面罩吸氧 高碳酸血症呼吸衰竭 

分 类 号：R459.7[医药卫生—急诊医学]