儿童与成人手术口罩的生理影响
J Patrick Brooks1,2, Jill Layman1, Jessica Willis3
1School of Anesthesia, Missouri State University, Springfield, Missouri, United States.
PeerJ
|June 21, 2023
概括
在儿童和成年人中,手术口罩显著增加了被启发的二氧化碳 (ICO2) 和稍微增加了终潮二氧化碳 (ETCO2). 然而,这些生理变化在临床上仍然微不足道,并且处于正常范围内.
科学领域:
- 生理学 生理学 生理学
- 公共卫生 公共卫生
- 儿科 儿科 儿科
背景情况:
- 疾病预防控制中心建议使用手术口罩来减少COVID-19的传播.
- 关于口罩对通风的影响的研究有限,特别是在儿童中.
研究的目的:
- 研究手术口罩对儿童和成人二氧化碳水平的生理影响.
- 为了比较口罩对不同年龄组通风的影响.
主要方法:
- 一项前性干预研究,共有119名参与者 (71名成年人,49名儿童).
- 每个参与者都是他们自己的无口罩对照.
- 在面具使用前和使用期间测量到潮尾CO2 (ETCO2),灵感CO2 (ICO2),呼吸率,脉冲氧计和心率.
主要成果:
- 在所有年龄组中,掩护显著增加了ICO2,在较小的儿童 (2-7岁) 中观察到的更高的增加.
- 在成人和儿童中观察到ETCO2的统计学上显著但临床上无意义的增加.
- 脉冲氧计,心率和呼吸率没有受到戴口罩的显著影响.
结论:
- 手术口罩的使用导致ICO2的统计学上显著增加,ETCO2的轻微增加.
- 这些变化在生理上是可测量的,但在临床上是微不足道的,保持在正常的生理界限内.
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