CAJ | 학술논문

目的：探讨预吸氧护理对无痛内镜检查患者术中血氧饱和度的影响。方法选取本院内镜中心接受无痛内镜检查的患者160例（胃镜94例，肠镜66例），随机分为实验组78例（胃镜40例，肠镜38例）和对照组82例（胃镜42例，肠镜40例）。实验组于术前6～10 min给予4～6 L／min预吸氧护理，对照组予常规护理。比较两组术中血氧饱和度低于94％的发生情况和需托下颌处理的发生情况。结果实验组患者术中血氧饱和度低于94％发生率8．97％低于对照组的24．39％（ P＜0．01），实验组患者需托下颌处理的发生率为2．56％低于对照组的12．19％（ P＜0．05）。结论对无痛内镜检查患者进行预吸氧护理，可减少术中血氧饱和度下降而引起低氧血症的风险，提高手术的安全性，保障患者的生命安全。
목적：탐토예흡양호리대무통내경검사환자술중혈양포화도적영향。방법선취본원내경중심접수무통내경검사적환자160례（위경94례，장경66례），수궤분위실험조78례（위경40례，장경38례）화대조조82례（위경42례，장경40례）。실험조우술전6～10 min급여4～6 L／min예흡양호리，대조조여상규호리。비교량조술중혈양포화도저우94％적발생정황화수탁하합처리적발생정황。결과실험조환자술중혈양포화도저우94％발생솔8．97％저우대조조적24．39％（ P＜0．01），실험조환자수탁하합처리적발생솔위2．56％저우대조조적12．19％（ P＜0．05）。결론대무통내경검사환자진행예흡양호리，가감소술중혈양포화도하강이인기저양혈증적풍험，제고수술적안전성，보장환자적생명안전。
Objective To investigate the effect of preoxygenation on patients? oxygen saturation in painless endoscopy. Methods There were 160 patients randomly assigned into 2 groups.The control group(n=82)were treated with routine nursing,while the experimental group(n=78)added preoxygenation before surgery.The incidence rate of jaw?lift and oxygen saturation less than 94% were compared between these 2 groups.Results The incidence rate of jaw?lift and oxygen saturation less than 94% was 2?56% and 8?97% in the experimental group;while the incidence rate of jaw?lift and oxygen saturation less than 94% was 12?19% and 24?39% in the control group.The differences were statisti?cally significant(P<0?05).Conclusion Preoxygenation in painless endoscopy could reduce the decline of patients? oxygen saturation during the operation,improve operation safety,and ensure the safety of the patients.