呼气末二氧化碳分压监测在手术后患者麻醉复苏中的应用

APPLICATION OF PARTIAL PRESSURE MONITORING OF CARBON DIOXIDE IN ENDEXPIRATORY GAS IN PATIENTS AFTER SURGERY ANESTHESIA RESUSCITATION

目的探讨呼气末二氧化碳分压（carbon dioxide tension and arterial pressure,PetCO_2）监测在手术后患者麻醉复苏中的应用效果。方法选取2013年7月—2015年8月在该院接受手术治疗并在术后进入麻醉复苏室的患者200例,分为观察组和对照组,每组100例,观察组进行麻醉复苏期的PetCO_2监测,即观察患者PetCO_2波形曲线和数值,并进行常规的监测心电图、血压、血氧饱和度和体温;对照组只进行常规监测。结果观察组发现患者出现呼吸暂停、呼吸抑制和导管位移的时间远远要短于对照组,入PACU0.5~1h后拔管例数多于对照组,以上差异均具有统计学意义（P〈0.05）。结论 PETCO_2监测在手术后患者麻醉复苏中的作用很明显,值得大力推广和临床应用。

Objective To discuss the application effect on end-tidal carbon dioxide partial pressure（end tidal carbon dioxide partial pressure,PetCO_2）monitoring patients after surgery anesthesia recovery.Methods Patients choosed from July 2013 to August 2015 in author＇s hospital,200 cases of surgery and anesthesia after entering the recovery room,divided into observation group and control group,100 cases in each group.The observation group was monitored with anesthetized PETCO_2 in recovery period,that was observed in patients with PETCO_2 squiggles and values,and routine monitoring was performed on ECG,blood pressure,oxygen saturation and body temperature;while the control group was only for routine monitoring.Results The times in the observation group of patients with apnea,respiratory depression and catheter displacement were much shorter than the control group,after the PACU0.5-1 hour,the number of cases of retreat extubation was to more than the control group,the differences were statistically significance（P〈0.05）.Conclusion PETCO_2 monitor patients recovery after surgery anesthetic effect are obvious,it is worth promoting and clinical applications.