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[鼻导管与哈德森面罩用于氧疗的比较]

[Nasal catheters versus Hudson face mask in oxygen therapy].

作者信息

Lund J, Holm-Knudsen R J, Nielsen J, Føge Jensen P B

机构信息

Anaestesi-og intensivafdeling, Amtssygehuset i Herlev.

出版信息

Ugeskr Laeger. 1996 Jul 8;158(28):4077-9.

PMID:8701523
Abstract

Thirty-two females, ASA class I, scheduled for termination of pregnancy before the 13th week participated in the study. After induction of anaesthesia, a soft plastic catheter was inserted in the oropharynx and the patients were postoperatively monitored with a capnograph, which sampled in- and expired air from the catheter. In a randomized cross-over design the patients received oxygen therapy by the Hudson face-mask and a nasal cannula. Humidified and heated oxygen was given in both cases, using a flow of 15 litres per minute. The nasal cannula resulted in a significantly higher expired end-tidal O2-fraction (FETO2) compared to the Hudson mask. During the nasal cannula period the respiratory rate was significantly lower than during the face mask period. The end-tidal CO2 pressure (PETCO2) remained constant.

摘要

32名美国麻醉医师协会(ASA)分级为I级、计划在孕13周前终止妊娠的女性参与了本研究。麻醉诱导后,将一根软质塑料导管插入口咽部,并使用二氧化碳监测仪对患者进行术后监测,该监测仪从导管采集吸入和呼出的气体。采用随机交叉设计,患者通过哈德森面罩和鼻导管接受氧疗。两种情况均给予湿化和加热的氧气,流速为每分钟15升。与哈德森面罩相比,鼻导管导致呼出末潮气氧分数(FETO2)显著更高。在使用鼻导管期间,呼吸频率显著低于使用面罩期间。呼气末二氧化碳分压(PETCO2)保持恒定。

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