内镜专用吸氧口垫的设计及应用

doi:10.3761/j.issn.0254-1769.2021.08.025

中华护理杂志 ›› 2021, Vol. 56 ›› Issue (8): 1272-1274.DOI: 10.3761/j.issn.0254-1769.2021.08.025

内镜专用吸氧口垫的设计及应用

高秀珍(),韩丽君(),张诚,倪燕丽,尤永梅,陈益清,杨玲玲,刘伟,朱胜军,王怡君,杨玉龙,何川崎

200120 上海市同济大学附属东方医院消化内科（高秀珍,陈益清）,胆石病中心（韩丽君,张诚,尤永梅,杨玉龙,何川琦）,内镜中心（倪燕丽,杨玲玲,刘伟,朱胜军,王怡君）

收稿日期:2021-04-01 出版日期:2021-08-15 发布日期:2021-08-16
通讯作者: 韩丽君
作者简介:高秀珍：女,本科,主管护师,E-mail： 10730243@qq.com

Design and clinical application of a special oxygen mouth guard for endoscopy

GAO Xiuzhen(),HAN Lijun(),ZHANG Cheng,NI Yanli,YOU Yongmei,CHEN Yiqing,YANG Lingling,LIU Wei,ZHU Shengjun,WANG Yijun,YANG Yulong,HE Chuanqi

Received:2021-04-01 Online:2021-08-15 Published:2021-08-16
Contact: Lijun HAN

摘要/Abstract

摘要：

目的设计内镜专用吸氧口垫,评价其临床应用效果。方法设计的内镜专用吸氧口垫包括口垫、鼻吸氧管、口腔吸氧管等7个部件。便利选取2021年1月—2月上海市某三级甲等医院内镜中心收治的120例因胆总管结石行内镜逆行胰胆管造影术的患者作为研究对象,采用随机数字表法分为试验组和对照组,每组各60例。试验组使用内镜专用吸氧口垫,对照组使用普通吸氧管及口垫。比较两组口垫佩戴时间、SpO₂波动差值、鼻导管移位率及医护人员满意度。结果试验组口垫佩戴时间为（20.58±2.43） s,对照组为（27.30±2.89） s,两组比较,差异具有统计学意义（t=-13.795,P<0.001）;试验组SpO₂波动差值为2.00%（1.00%,2.75%）,对照组为3.00%（2.00%,4.00%）,两组比较,差异具有统计学意义（Z=-4.332,P<0.001）;试验组鼻导管移位率为0,对照组为18.33%,两组比较,差异具有统计学意义（χ²=-12.110,P=0.001）;试验组医护人员满意度得分为（28.35±1.39）分,对照组为（26.48±1.56）分,两组比较,差异具有统计学意义（t=6.933,P<0.001）。结论内镜专用吸氧口垫佩戴方便,能减少患者术中SpO₂波动,降低鼻导管移位率,提高医护人员满意度及手术安全性。

关键词: 胰胆管造影术, 内窥镜逆行, 吸氧管, 口垫, 围手术期护理

Abstract:

Objective To design a special oxygen mouth guard for endoscopy and to evaluate its clinical application effects. Methods The designed special oxygen mouth guard comprises 7 elements（such as mouth pad,nasal and oral oxygen inhalation tubes）. A total of 120 patients with common bile duct stones undergoing endoscopic retrograde cholangiopancreatography at the endoscopy center of a tertiary hospital in Shanghai from January to February 2021 were included,and they were randomly divided into an experimental group and a control group,with 60 patients in each group. In the experimental group,the special oxygen mouth guard was used. In the control group,traditional oxygen tube and mouth guard were used. The wearing time,oxygen saturation（SpO₂） fluctuations,nasal catheter displacement rate and medical staff satisfaction were evaluated and compared between 2 groups. Results The wearing time in the experimental group was（20.58±2.43） s,while it was（27.30±2.89） s in the control group,and the difference was statistically significant（t=-13.795,P<0.001）. The SpO₂ value in the experimental group was 2.00%（1.00%,2.75%）,while it was 3.00%（2.00%,4.00%） in the control group,and the difference was statistically significant（Z=-4.332,P<0.001）. The nasal catheter displacement rate in the experimental group was 0,while it was 18.33% in the control group,and the difference was statistically significant（χ²=-12.110,P=0.001）. The score of medical staff satisfaction in the experimental group was（28.35±1.39）,while it was（26.48±1.56） in the control group,and the difference was statistically significant（t=6.933,P<0.001）. Conclusion The special oxygen mouth guard for endoscopy is easy to wear,and it can reduce the fluctuations in SpO₂ and nasal catheter displacement rate,and improve the medical staff satisfaction and safety of ERCP.

Key words: Cholangiopancreatography, Endoscopic Retrograde, Oxygen Tube, Mouth Guard, Perioperative Nursing

高秀珍,韩丽君,张诚,倪燕丽,尤永梅,陈益清,杨玲玲,刘伟,朱胜军,王怡君,杨玉龙,何川崎. 内镜专用吸氧口垫的设计及应用[J]. 中华护理杂志, 2021, 56(8): 1272-1274.

GAO Xiuzhen,HAN Lijun,ZHANG Cheng,NI Yanli,YOU Yongmei,CHEN Yiqing,YANG Lingling,LIU Wei,ZHU Shengjun,WANG Yijun,YANG Yulong,HE Chuanqi. Design and clinical application of a special oxygen mouth guard for endoscopy[J]. Chinese Journal of Nursing, 2021, 56(8): 1272-1274.

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内镜专用吸氧口垫的设计及应用

Design and clinical application of a special oxygen mouth guard for endoscopy

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