儿童脉搏血氧饱和度监测临床应用专家共识  

Expert consensus on clinical application of pulse oximetry in children

作　　者：郑跃杰[1] 申阿东 徐保平[3] 刘瀚旻[4] 陈星 钟礼立[6] 农光民[7] 卢根[8] 丁圣刚[9] 韩志英[10] 孙云 陈强[12] 姜毅[13] 朱晓萍 唐素萍 王秀芳[16] 殷勇[17] 安淑华[18] 殷菊[3] 薛凤霞 刘晓莉[1] 刘苗[13] 杨永弘[1,2] 申昆玲 Zheng Yuejie;Shen Adong;Xu Baoping;Liu Hanmin;Chen Xing;Zhong Lili;Nong Guangmin;Lu Gen;Ding Shenggang;Han Zhiying;Sun Yun;Chen Qiang;Jiang Yi;Zhu Xiaoping;Tang Suping;Wang Xiufang;Yin Yong;An Shuhua;Yin Ju;Xue Fengxia;Liu Xiaoli;Liu Miao;Yang Yonghong;Shen Kunling(Department of Respiratory,Shenzhen Children′s Hospital,Shenzhen 518038,China;Beijing Pediatric Research Institute,Beijing Children′s Hospital,Capital Medical University,China National Clinical Research Center for Respiratory Diseases,National Center for Children′s Health,Beijing 100045,China;Department of Respiratory DiseasesⅠ,Beijing Children′s Hospital,Capital Medical University,China National Clinical Research Center for Respiratory Disease,National Center for Children′s Health,Beijing 100045,China;Department of Pediatric Pulmonology and Immunology,West China Second University Hospital,Sichuan University,Chengdu 610041,China;Department of Pediatric Respiratory Disease,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;Hunan Provincial Key Laboratory of Pediatric Respirology,Pediatric Medical Center,Hunan Provincial People′s Hospital,Changsha 410005,China;Department of Pediatrics,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Department of Respiratory,Guangzhou Women and Children′s Medical Center,Guangzhou Medical University,Guangzhou 510623,China;Department of Pediatrics,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Department of Pulmonology,Children′s Hospital of Shanxi Province,Taiyuan 030013,China;Department of General Pediatrics,Yinchuan Women and Children Healthcare Hospital,Yinchuan 750002,China;Department of Respiratory Medicine,Jiangxi Provincial Children′s Hospital,Nanchang 330006,China;Department of Pediatrics,Renmin Hospital of Wuhan University,Wuhan 430060,China;Department of Pediatrics,the Affiliated Hospital of Guizhou Medical University,Guiyang 550004,China;Department of Allergy,Children′s Hospital of Fuz

机构地区：[1]深圳市儿童医院呼吸科,深圳518038 [2]国家儿童医学中心,国家呼吸系统疾病临床医学研究中心,首都医科大学附属北京儿童医院,北京市儿科研究所,北京100045 [3]国家儿童医学中心,国家呼吸系统疾病临床医学研究中心,首都医科大学附属北京儿童医院呼吸一科,北京100045 [4]四川大学华西第二医院小儿呼吸免疫科,成都610041 [5]山东第一医科大学附属省立医院小儿呼吸科,济南250021 [6]湖南省人民医院儿童医学中心,儿童呼吸病学湖南省重点实验室,长沙410005 [7]广西医科大学第一附属医院儿科,南宁530021 [8]广州医科大学附属广州市妇女儿童医疗中心呼吸科,广州510623 [9]安徽医科大学第一附属医院儿科,合肥230022 [10]山西省儿童医院呼吸科,太原030013 [11]银川市妇女儿童保健院普儿科,银川750002 [12]江西省儿童医院呼吸内科,南昌330006 [13]武汉大学人民医院儿科,武汉430060 [14]贵州医科大学附属医院儿科,贵阳550004 [15]福建省福州儿童医院变态反应科,福州350005 [16]郑州大学第三附属医院小儿呼吸内科,郑州450052 [17]上海交通大学医学院附属上海儿童医学中心呼吸科,上海200127 [18]河北省儿童医院呼吸科,石家庄050031

出　　处：《中华实用儿科临床杂志》2022年第23期1761-1772,共12页Chinese Journal of Applied Clinical Pediatrics

摘　　要：低氧血症是儿童肺炎、哮喘、支气管肺发育不良等疾病的常见并发症,快速识别低氧血症对于危重症患儿的处置、管理具有重要意义。脉搏血氧饱和度监测是世界卫生组织公认的监测儿童低氧血症的最佳方式,可无创、持续性监测脉搏血氧饱和度。现基于国内外相关文献,并结合儿科临床需求,制定《儿童脉搏血氧饱和度监测临床应用专家共识》,旨在提升儿科医师和护理人员对脉搏血氧饱和度监测的儿科常见应用、作用原理、操作技术以及局限性的认识。Hypoxemia is a common complication of pneumonia,asthma,and bronchopulmonary dysplasia in children.Rapid identification of hypoxemia is of great significance for the disposal and management of critical children.Pulse oximetry is recognized by the World Health Organization as the best way to monitor hypoxemia in children,and it can monitor pulse oxygen saturation noninvasively and continuously.Based on the related literature at home and abroad,combined with the clinical needs of pediatrics,the"Expert consensus on clinical application of pulse oximetry in children"is formulated to improve the understanding of pediatricians and nurses on the application in pediatric clinical practice,principle,operation techniques,and limitations of pulse oximetry.

关 键 词：儿童 脉搏血氧饱和度监测 专家共识 

分 类 号：R725.6[医药卫生—儿科]