Soliman I E, Patel R I, Ehrenpreis M B, Hannallah R S
Department of Anesthesiology, Children's Hospital National Medical Center, Washington, D.C. 20010.
Anesth Analg. 1988 Jan;67(1):53-6.
The correlation between the degree of postanesthetic recovery (PAR) in children as measured by a modified Aldrete scoring system and oxygen saturation (SaO2) was studied. Eighty-one ASA PS I unpremedicated infants and children were studied. Oxygen saturation and PAR scores were recorded on arrival in the recovery room, then at 5-minute-intervals. Patients with SaO2 less than 95% were given supplemental oxygen. The proportion of children with SaO2 less than 95% and greater than or equal to 95% was not significantly different among patients with low PAR scores (less than or equal to 6) and those with high scores (7-10) in any age group. Similarly, the magnitude of SaO2 increase after oxygen supplementation did not seem to correlate with increasing wakefulness; i.e., higher PAR scores. It is concluded that children recovering from anesthesia can become hypoxemic in the recovery room. The degree of wakefulness as measured by a PAR score cannot be used to establish an end point for oxygen supplementation. Oxygen supplementation and/or SaO2 monitoring are recommended in all children recovering from anesthesia.
通过改良的Aldrete评分系统测量的儿童麻醉后恢复程度（PAR）与血氧饱和度（SaO2）之间的相关性进行了研究。研究了81例未使用术前药的ASA PS I级婴儿和儿童。在恢复室到达时记录血氧饱和度和PAR评分，然后每隔5分钟记录一次。SaO2低于95%的患者给予补充氧气。在任何年龄组中，PAR评分低（小于或等于6）的患者和评分高（7 - 10）的患者中，SaO2低于95%和大于或等于95%的儿童比例没有显著差异。同样，补充氧气后SaO2增加的幅度似乎与清醒程度增加无关；即，PAR评分越高。得出的结论是，麻醉后恢复的儿童在恢复室可能会出现低氧血症。通过PAR评分测量的清醒程度不能用于确定补充氧气的终点。建议对所有麻醉后恢复的儿童进行补充氧气和/或SaO2监测。
