CAJ | 학술논문

目的观察高压舱内不同吸氧方式对经皮氧分压(TcPO2)的影响.方法应用QSG-1000B型多功能监护仪监测高压氧治疗过程中患者经皮氧分压变化.结果 TcPO2随治疗时间延长逐渐升高.45 min达最高,面罩吸氧组达(1 214±134) mmHg,与15 min比较差异有统计学意义(P＜0.01);头罩吸氧组(气管切开)45 min达(1 304±269) mmHg,与15 min比较差异有统计学意义(P＜0.01);头罩吸氧组(气管未切开)45 min达(1 382±80) mmHg,与15 min比较差异有统计学意义(P＜0.01),但45 min时3组间差异无统计学意义(P＞0.05).间歇吸入空气5 min,55 min时测得的TcPO2较低,此后65 min和75 min又逐渐增高,3组TcPO2各时点间差异无统计学意义(P＞0.05).结论高压舱内经皮氧分压监测对帮助临床医生了解患者高压氧治疗的质量有重要意义.
목적 관찰고압창내불동흡양방식대경피양분압(TcPO2)적영향.방법 응용QSG-1000B형다공능감호의감측고압양치료과정중환자경피양분압변화.결과 TcPO2수치료시간연장축점승고.45 min체최고,면조흡양조체(1 214±134) mmHg,여15 min비교차이유통계학의의(P＜0.01);두조흡양조(기관절개)45 min체(1 304±269) mmHg,여15 min비교차이유통계학의의(P＜0.01);두조흡양조(기관미절개)45 min체(1 382±80) mmHg,여15 min비교차이유통계학의의(P＜0.01),단45 min시3조간차이무통계학의의(P＞0.05).간헐흡입공기5 min,55 min시측득적TcPO2교저,차후65 min화75 min우축점증고,3조TcPO2각시점간차이무통계학의의(P＞0.05).결론 고압창내경피양분압감측대방조림상의생료해환자고압양치료적질량유중요의의.
Objective To observe the effects of different oxygen-breathing modes on transcutaneous partial oxygen tension (TcPO2) in the hyperbaric chamber.Methods Changes in TcPO2 of the patients were detected with the QSG-1000B multiple function monitor in the course of HBO treatment.Results TcPO2 level elevated with the extension of HBO treatment and reached peak (1 214 mmHg) at minute 45.For the patients in the oxygen mask-breathing group,TcPO2 level reached 1 214 ± 134 mmHg at minute 45,and very significant differences could be noted,when it was compared with that detected at minute 15 (P ＜ 0.01).For the patients in the oxygen hood-breathing group (with airway incision),TcPO2 level reached as high as (1 304 ± 269) mmHg at minute 45,and very significant differences could also be noted,when it was compared with that detected at minute 15 (P ＜ 0.01).For the patients in the oxygen hood-breathing group (without airway incision),TcPO2 level reached as high as (1 382 ± 80) mmHg at minute 45,and very significant differences could also be noted,when it was compared with that detected at minute 15 (P ＜ 0.01).However,no significant differences in TcPO2 levels at minute 45 could be noted,when comparisons were made between the 3 groups (P ＞ 0.05).The patients had air-breathing interval of 5 min,and TcPO2 level detected at minute 55 was relatively lower,then TcPO2 level elevated gradually at minute 65 and 75.There were no statistical significance in TcPO2 levels detected at all the time points (P ＞ 0.05).Conclusions TcPO2 detection in the hyperbaric chamber was of great significance to clinical physicians in understanding the efficacy of HBO therapy.It was recommended that TcPO2 index be used as a routine detection method.