CAJ | 학술논문

目的：探讨早产儿吸氧最佳体位，减少吸氧时间。方法选择需要行暖箱内吸氧的早产儿50例，按先后次序分组，单数纳入俯卧位组，双数纳入平卧位组。采用经皮氧/二氧化碳分压监测仪及心电监护仪监测吸氧前经皮血氧饱和度（ TcSpO2）、经皮氧分压（ TcPaO2）、经皮二氧化碳分压（TcPaCO2）、HR，吸氧后1 h的TcPaO2、TcPaCO2、HR及TcSpO2稳定在88％～93％需要的时间。并对两组TcPaO2、TcPaCO2、氧合指数（ PaO2/FiO2）、HR的变化及TcSpO2稳定在88％～93％需要的时间进行比较。结果吸氧前两组早产儿TcSpO2、TcPaO2、TcPaCO2、HR情况差异无统计学意义（P＞0．05）。吸氧1 h后TcSpO2稳定在88％～93％需要的时间俯卧位组（92．3±3．2） min、平卧位组（97．3±5．5） min；TcPaO2俯卧位组（65．2±11．6） mmHg、平卧位组（55．5±9．7） mmHg；TcPaCO2俯卧位组（36．7±4．2）mmHg、平卧位组（33．1±3．5）mmHg；HR俯卧位组（120±9）次/min、平卧位组（132±10）次/min；PaO2/FiO2俯卧位组（179．3±10．4）、平卧位组（170．5±9．5），组间比较差异均有统计学意义（t值分别为3．77，3．01，3．88，4．40，3．18；P＜0．01）。结论俯卧位吸氧能显著改善早产儿氧合状态，从而实现早日停氧。
목적：탐토조산인흡양최가체위，감소흡양시간。방법선택수요행난상내흡양적조산인50례，안선후차서분조，단수납입부와위조，쌍수납입평와위조。채용경피양/이양화탄분압감측의급심전감호의감측흡양전경피혈양포화도（ TcSpO2）、경피양분압（ TcPaO2）、경피이양화탄분압（TcPaCO2）、HR，흡양후1 h적TcPaO2、TcPaCO2、HR급TcSpO2은정재88％～93％수요적시간。병대량조TcPaO2、TcPaCO2、양합지수（ PaO2/FiO2）、HR적변화급TcSpO2은정재88％～93％수요적시간진행비교。결과흡양전량조조산인TcSpO2、TcPaO2、TcPaCO2、HR정황차이무통계학의의（P＞0．05）。흡양1 h후TcSpO2은정재88％～93％수요적시간부와위조（92．3±3．2） min、평와위조（97．3±5．5） min；TcPaO2부와위조（65．2±11．6） mmHg、평와위조（55．5±9．7） mmHg；TcPaCO2부와위조（36．7±4．2）mmHg、평와위조（33．1±3．5）mmHg；HR부와위조（120±9）차/min、평와위조（132±10）차/min；PaO2/FiO2부와위조（179．3±10．4）、평와위조（170．5±9．5），조간비교차이균유통계학의의（t치분별위3．77，3．01，3．88，4．40，3．18；P＜0．01）。결론부와위흡양능현저개선조산인양합상태，종이실현조일정양。
Objective To explore the best position of oxygen inhalation for premature infants so as to reduce the time of oxygen inhalation .Methods Fifty premature infants who needed oxygen inhalation in the warm box were divided into the prone position group (singular) and the supine position group (dual) according to the order of sequence .The transcutaneous oxygen/carbon dioxide pressure ( TcPaO2/TcPaCO2 ) and HR were monitored by transcutaneous oxygen/carbon dioxide partial pressure monitoring equipment and electrocardiogram monitor before and one hour after oxygen inhalation , and the transcutaneous oxygen saturation ( TcSpO2 ) were monitored before the oxygen inhalation , and the time of TcSpO 2 stabilized at 88%-93% were monitored one hour after oxygen inhalation.The changes of TcPaO2, TcPaCO2, the index of oxygenation index (PaO2/FiO2), HR and the time of TcSpO 2 stabilized at 88%-93%were compared in two groups .Results No difference was found in the TcSpO2, TcPaO2, TcPaCO2, HR in two groups before the oxygen inhalation (P>0.05).The time of TcSpO2 stabilized at 88%-93%, TcPaO2, TcPaCO2, HR and PaO2/FiO2 were (92.3 ±3.2)min, (65.2 ± 11.6)mmHg, (36.7 ±4.2)mmHg, (120 ±9)beats/min, (179.3 ±10.4) one hour after oxygen inhalation in the prone position group, and were respectively (97.3 ±5.5) min, (55.5 ±9.7) mmHg, (33.1 ±3.5) mmHg, (132 ±10) beats/min, ( 170.5 ±9.5 ) in the supine position group , and the differences were statistically significant (t=3.77, 3.01, 3.88, 4.40, 3.18, respectively;P<0.01).Conclusions Prone position of oxygen inhalation can significantly improve the oxygenation state of premature infants so as to stop oxygen inhalation as soon as early .