经鼻湿化快速充气交换通气在改良电休克治疗中的应用  

Application of transnasal humidified rapid-insufflation ventilatory exchange in modified electroconvulsive therapy

作　　者：朱晶 谢振强 王铸 刘群 陈海冰 文桂芳 ZHU Jing;XIE Zhenqiang;WANG Zhu;LIU Qun;CHEN Haibing;WEN Guifang(Hospital Office,the Fifth People's Hospital of Jiujiang City,Jiangxi Province,Jiujiang 332000,China;Department of Sleep,the Fifth People's Hospital of Jiujiang City,Jiangxi Province,Jiujiang 332000,China;Department of Rehabilitation,the Fifth People's Hospital of Jiujiang City,Jiangxi Province,Jiujiang 332000,China;Department of Geriatrics,the Fifth People's Hospital of Jiujiang City,Jiangxi Province,Jiujiang 332000,China)

机构地区：[1]江西省九江市第五人民医院院办,江西九江332000 [2]江西省九江市第五人民医院睡眠科,江西九江332000 [3]江西省九江市第五人民医院康复科,江西九江332000 [4]江西省九江市第五人民医院老年科,江西九江332000

出　　处：《中国当代医药》2025年第4期36-39,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202410628)。

摘　　要：目的探讨经鼻湿化快速充气交换通气(THRIVE)技术在改良电休克治疗中的效果。方法选取2024年1—5月九江市第五人民医院84例接受改良电休克治疗的患者作为研究对象,按照随机数字表法分为面罩组和THRIVE组,每组42例。面罩组采用面罩吸纯氧,THRIVE组采用THRIVE给氧。比较两组即刻收缩压(SBP)、舒张压(DBP)及心率(HR),动脉血pH值、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))水平。结果治疗后,面罩组的PaO_(2)高于THRIVE组,PaCO_(2)低于THRIVE组,差异有统计学意义(P<0.05);治疗后,两组的pH值比较,差异无统计学意义(P>0.05)。治疗后,两组的HR、SBP、DBP比较,差异无统计学意义(P>0.05)。结论在MECT治疗中,THRIVE技术减缓CO_(2)蓄积,延长无通气安全时间,是有益补充。Objective To explore of the effect of transnasal humidified rapid-insufflation ventilatory exchange(THRIVE)technique in the application of modified electroconvulsive therapy.Methods A total of 84 inpatients who received modified electroconvultic therapy in the Fifth People's Hospital of Jiujiang City from January to May 2024 were selected as the research objects.They were divided into the mask group and the THRIVE group according to the random number table method,with 42 cases in each group.The mask group received pure oxygen with mask,and the THRIVE group received oxygen with THRIVE.The systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR),arterial pH value,partial pressure of oxygen(PaO_(2))in artery and arterial partial pressure of carbon dioxide(PaCO_(2))were compared between the two groups.Results After treatment,PaO_(2)in mask group was higher than that in THRIVE group,and PaCO_(2)was lower than that in THRIVE group,with statistical significances(P<0.05).After treatment,there was no significant difference in pH value between the two groups(P>0.05).After treatment,there were no significant differences in HR,SBP and DBP between the two groups(P>0.05).Conclusion In MECT treatment,the THRIVE technique slows down CO_(2)accumulation and extends the safe apnea time,serving as a beneficial supplement.

关 键 词：经鼻湿化快速充气交换通气 改良电休克治疗 血气分析 心率 血压 

分 类 号：R614[医药卫生—麻醉学]