中国当代儿科杂志2024，Vol.26Issue(1)：37-41,5.DOI:10.7499/j.issn.1008-8830.2309027
改良T组合复苏器与鼻导管吸氧用于婴儿电子支气管镜检查的安全性比较:一项前瞻性随机对照研究
Safety of modified T-piece resuscitator versus nasal cannula oxygen in electronic bronchoscopy for infants:a prospective randomized controlled study
摘要
Abstract
Objective To optimize the oxygen therapy regimens for infants with pulmonary diseases during bronchoscopy.Methods A prospective randomized,controlled,and single-center clinical trial was conducted on 42 infants who underwent electronic bronchoscopy from July 2019 to July 2021.These infants were divided into a nasal cannula(NC)group and a modified T-piece resuscitator(TPR)group using a random number table.The lowest intraoperative blood oxygen saturation was recorded as the primary outcome,and intraoperative heart rate and respiratory results were recorded as the secondary outcomes.Results Compared with the NC group,the modified TPR group had a significantly higher level of minimum oxygen saturation during surgery and a significantly lower incidence rate of hypoxemia(P<0.05).In the modified TPR group,there were 6 infants with mild hypoxemia,2 with moderate hypoxemia,and 1 with severe hypoxemia,while in the NC group,there were 3 infants with mild hypoxemia,5 with moderate hypoxemia,and 9 with severe hypoxemia(P<0.05).The modified TPR group had a significantly lower incidence rate of intraoperative respiratory rhythm abnormalities than the NC group(P<0.05),but there was no significant difference in the incidence rate of arrhythmias between the two groups(P>0.05).Conclusions Modified TPR can significantly reduce the risk of hypoxemia in infants with pulmonary diseases during electronic bronchoscopy,and TPR significantly decreases the severity of hypoxemia and the incidence of respiratory rhythm abnormalities compared with traditional NC.关键词
T组合复苏器/鼻导管吸氧/电子支气管镜/临床效果/婴儿Key words
T-piece resuscitator/Nasal cannula oxygen/Electronic bronchoscopy/Clinical efficacy/Infant引用本文复制引用
宁俊杰,左智惠,喻志东,李雪梅,乔莉娜..改良T组合复苏器与鼻导管吸氧用于婴儿电子支气管镜检查的安全性比较:一项前瞻性随机对照研究[J].中国当代儿科杂志,2024,26(1):37-41,5.基金项目
国家重点研发计划(2021YFC2701700,2021YFC2701704). （2021YFC2701700,2021YFC2701704）
