在老年患者中预防术后低氧症的THRIVE在PACU接受 laparoscopic手术:一个随机对照临床试验
Xingxing Chen1, Kang Gu2, Yunqing Yang2
1Department of Nursing, The First Affiliated Hospital of Wenzhou Medical University, WenZhou, ZheJiang, 325000, People's Republic of China.
Journal of multidisciplinary healthcare
|May 15, 2025
概括
透鼻加湿快速吸气呼吸交换 (THRIVE) 在腹腔镜手术后显著降低了老年患者的术后低氧症. 这种高流量氧疗法在PACU中改善了患者的舒适度和肺功能.
科学领域:
- 麻醉学和外科手术期间的医学.
- 呼吸系统护理 呼吸系统护理
- 老年医学 老年医学
背景情况:
- 手术后缺氧症是老年患者进行腹腔镜手术的常见并发症,通常导致延长PACU停留.
- 传统的氧气疗法在预防这种患者群体的低氧症方面有效性有限.
- 透鼻加湿快速吸入呼吸系统交换 (THRIVE) 提供高流量氧气输送,可能改善呼吸结果.
研究的目的:
- 评估THRIVE在腹腔镜手术后预防老年患者早期术后低氧症的有效性和安全性.
- 与标准氧气疗法相比,评估患者对THRIVE的耐受性和舒适性.
主要方法:
- 一个前性的多中心随机对照试验,涉及200名接受腹腔镜手术的老年患者.
- 参与者接受了传统的鼻腔管氧气或THRIVE的输出.
- 主要结局:PACU中低血的发生率. 二级结局:肺部超声波得分,部提升频率,再输管率,不良事件和患者舒适度.
主要成果:
- 与标准氧气相比,THRIVE组的低氧症发病率显著降低 (0%与29.2%,P<0.001).
- 随着THRIVE.的使用,减少了对部提升的需求 (5.1%与29.2%,P = 0.019) 和改善的肺超声波得分 (P = 0.003) 被观察到.
- 接受THRIVE治疗的患者报告了显著更高的舒适度 (P = 0.002).
结论:
- THRIVE是一种有效的策略,用于减少腹腔镜手术的老年患者的术后低氧症.
- 该技术增强了肺功能恢复和患者在PACU中的舒适度.
- 在麻醉后的呼吸状况管理中,THRIVE 是一种有价值的干预措施.
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