THRIVE在麻醉后恢复室治疗低氧血症患者的效果评估  

Effect Evaluation of THRIVE on Patients with Hypoxemia in the Post-anesthesia Care Unit

作　　者：孙俊美 李铭[1] 刘颖[1] 王古岩 吴黎黎[1] SUN Junmei;LI Ming;LIU Ying(Department of Anesthesiology,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院麻醉科,100730

出　　处：《医学研究杂志》2024年第7期125-129,共5页Journal of Medical Research

基　　金：北京市医院管理中心“登峰”计划专项(DFL20220203)。

摘　　要：目的比较经鼻湿化快速充气交换通气(transnasal humidified rapid-insufflation ventilatory exchange,THRIVE)与传统面罩吸氧在麻醉后恢复室(post-anesthesia care unit,PACU)治疗低氧血症患者的效果。方法选取2023年6~12月于首都医科大学附属北京同仁医院全身麻醉(以下简称全麻)手术后入PACU即刻脉搏血氧饱和度(pulse oxygen saturation,SpO_(2))<95%的患者144例。随机分为THRIVE组(n=72)和面罩组(n=72),THRIVE组患者采用THRIVE吸氧治疗,面罩组患者采用面罩吸氧治疗。连续心电监测患者的生命体征,并比较两组患者在不同时间点的SpO_(2)、达到出恢复室标准的留观时间以及患者满意度。结果THRIVE组吸氧1min的SpO_(2)(98.40%±1.65%)显著高于面罩组(96.72%±1.87%),差异有统计学意义(P<0.05);THRIVE组PACU留观时间为36.76±15.46min,较面罩组(44.38±21.73min)显著缩短,差异有统计学意义(P<0.05);两组患者返回病房后的SpO_(2)比较,差异无统计学意义(P>0.05);THRIVE组患者的满意度评分(18.31±1.00分)显著高于面罩组(17.46±1.17分),差异有统计学意义(P<0.05)。结论在PACU期间应用THRIVE治疗低氧血症的效果显著优于传统面罩。应用THRIVE可以有效地改善患者的氧合状况,提高PACU的周转率以及患者的满意度,为全麻术后低氧血症的治疗提供了一种更有效的方案。Objective To compare the effectiveness of transnasal humidified rapid-insufflation ventilatory exchange(THRIVE)and conventional mask oxygen in treating patients with hypoxemia in the post-anesthesia care unit(PACU).Methods A total of 144 patients with immediate pulse oxygen saturation(SpO_(2))less than 95%following general anesthesia were selected at Beijing Tongren Hos-pital,Capital Medical University from June to December 2023.Patients were randomly divided into the THRIVE group(n=72)and the mask group(n=72),patients in the THRIVE group received oxygen therapy,and patients in the mask group received oxygen therapy.Continuous electrocardiogram monitoring was used.The SpO_(2),at different time points,the duration in PACU,and patient satisfaction be-tween the two groups were compared.Results The SpO_(2) of the THRIVE group after lminute of oxygenation was 98.40%±1.65%,which was significantly higher than that of the mask group 96.72%±1.87%,the difference was statistically significant(P<0.05).The duration in PACU of the THRIVE group was 36.76±15.46min,which was significantly shorter than that of the mask group(44.38±21.73min),the difference was statistically significant(P<0.05).There was no significant difference in SpO_(2),after returning to the ward between the two groups(P>0.05).The satisfaction score of patients in the THRIVE group(18.31±1.00 points)was significantly higher than that in the mask group(17.46±1.17 points),the difference was statistically significant(P<0.05).Conclusion THRIVE treatment for hypoxemia is significantly more effective than traditional mask oxygen therapy in the PACU.THRIVE effectively improves ox-ygenation,enhances the turnover rate in PACU,and increases the satisfaction of patient,and provides a more effective treatment approach for post-anesthesia hypoxemia.

关 键 词：经鼻湿化快速充气交换通气 低氧血症 麻醉后恢复室 脉搏血氧饱和度 

分 类 号：R614[医药卫生—麻醉学]