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围手术期氧疗的研究进展

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大多数围术期手术患者常规接受氧疗,以预防或治疗可能发生的低氧血症.世界卫生组织关于减少手术部位感染的指南建议围手术期给予高浓度氧气,然而氧疗和高氧血症对呼吸和心血管系统也有不利影响.一些临床研究报道围手术期高浓度氧疗与更差的临床结局之间存在关联.本文对围手术期氧疗的相关研究及指南进行综述,为更加合理、安全地进行围术期氧疗提供一定参考.
Research progress in perioperative oxygen therapy
Most perioperative patients undergo routine oxygen therapy to prevent or treat potential hypoxemia.The World Health Organization guidelines for reducing surgical site infection have recommended the administration of high concentration of oxygen during the perioperative period.However,oxygen therapy and hyperoxemia also have ad-verse effects on the respiratory and cardiovascular systems.Some clinical studies have reported an association between high-dose perioperative oxygen therapy and worse clinical outcomes.This article reviews the relevant research and guide-lines on perioperative oxygen therapy,providing reference for more reasonable and safe perioperative oxygen therapy.

Perioperative periodOxygen therapyFraction of inspiration O2

段丽敏、方向志、孙圣文、魏彭辉、邹晓静、尚游、任乐豪

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华中科技大学同济医学院附属协和医院重症医学科,武汉 430022

山东大学齐鲁医院(青岛)麻醉科,青岛 266035

围手术期 氧疗 吸入氧浓度

国家自然科学基金

82000022

2024

中华实验外科杂志
中华医学会

中华实验外科杂志

CSTPCD
影响因子:0.759
ISSN:1001-9030
年,卷(期):2024.41(5)
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