探讨鼻腔填塞对血氧饱和度的影响

Surender Singh, J. Singh, V. Kakkar, S. Yadav, A. Bishnoi, Bhushan Kathuria, A. Gulati, C. Sharma, B. Hathiram, V. Khattar
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引用次数: 3

摘要

目的:探讨鼻腔填塞对血氧饱和度的影响。材料与方法:对30例鼻中隔偏曲患者在局部麻醉下行鼻中隔成形术,鼻前填塞。采用数字脉搏血氧仪对患者进行3次脉搏血氧测定,记录血氧饱和度(SpO2)。第一次SpO2读数在鼻腔填塞前,第二次在鼻腔填塞24小时后,第三次在手术后3周。统计学分析采用卡方检验和配对t检验。结果:20岁以下占33.3%,20 ~ 30岁占60%,30岁以上占6.7%。男性占80%。术前平均SpO2为98.3±0.794%,填塞24小时后平均SpO2为97.17±1.744%,术后3周平均SpO2为98.87±0.629%。经统计学分析,SpO2差异极显著(p < 0.001)。结论:老年患者应用鼻塞有一定的风险,尤其是有心肺疾病的患者。建议这些患者使用带气流的药包,理想情况下应使用脉搏血氧仪进行监测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
To Evaluate the Effect of Nasal Packing on Blood Oxygen Saturation
Objective: To study the effect of nasal packing on blood oxygen saturation. Materials and methods: Study was conducted on 30 patients of deviated nasal septum, who underwent septoplasty under local anesthesia followed by anterior nasal packing. The pulse oximetry was carried out three times on each patient to record the blood oxygen saturation (SpO2) by using digital pulse oximeter. The first reading of SpO2 was taken before nasal packing, second after 24 hours of nasal packing and third 3 weeks after surgery. Statistical analysis was done by Chi-square test and paired t-test. Results: A total of 33.3% patients were below 20 years of age, whereas 60% were between 20 and 30 years of age and 6.7% were above 30 years. Males were 80%. It was observed that preoperative mean SpO2 was 98.3 ± 0.794%, after 24 hours of nasal packing was 97.17 ± 1.744% and 3 weeks after surgery was 98.87 ± 0.629%. On statistical analysis, the difference in SpO2 was highly significant (p < 0.001). Conclusion: The application of nasal packs can be risky in old patients, more so having cardiopulmonary disease. The use of packs with airflow is recommended in these patients who should ideally be monitored with pulse oximetry.
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