高流量鼻氧与常规鼻腔管在预防低氧症的老年患者接受胃镜与镇静:一个随机对照试验:高流量鼻氧与传统鼻腔管在预防低氧症
Xin Yin1, Wen Xu1, Jianlei Zhang2
1Department of Anesthesiology, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
International journal of medical sciences
|April 15, 2024
概括
高流量鼻氧 (HFNO) 与鼻管相比,在接受胃镜检查的老年患者中显著降低氧气不足. 对于这个患者群体来说,HFNO是一种安全有效的氧气输送方法.
科学领域:
- 医学研究 医学研究
- 麻醉学 麻醉学
- 老年病的医生 老年病的医生
背景情况:
- 低氧症是老年患者胃镜镇静期间的风险.
- 对比输送氧气的方法对于患者的安全至关重要.
研究的目的:
- 为了比较高流量鼻氧 (HFNO) 与常规鼻 (CNC) 在预防低氧症方面的疗效.
- 评估老年患者的氧化参数和恢复时间,这些老年患者接受了静止性胃镜检查.
主要方法:
- 一项前性,随机,受控试验,涉及125名老年患者 (≥65岁).
- 干预组接受了HFNO (60L/分钟,FiO2 0.6);对照组接受了CNC (6L/分钟).
- 主要结局:低氧化血的发生 (SpO2 < 90%).
主要成果:
- 在HFNO组 (3.2%) 发生的低氧症明显少于CNC组 (22.6%) (p=0.001).
- 在HFNO组中,低氧持续时间更短,SPO2最小值更高,恢复时间更快.
- 两组之间患者舒适度没有显著差异.
结论:
- HFNO是一种安全且高效的方法,用于预防老年患者的低氧症,这些老年患者接受了用镇静剂进行胃镜检查.
- 在这个人群中,HFNO应该被认为是氧气管理的标准.
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