Effect Evaluation of THRIVE on Patients with Hypoxemia in the Post-anesthesia Care Unit
10.11969/j.issn.1673-548X.2024.07.025
- VernacularTitle:THRIVE在麻醉后恢复室治疗低氧血症患者的效果评估
- Author:
Junmei SUN
1
;
Ming LI
;
Ying LIU
Author Information
1. 100730 首都医科大学附属北京同仁医院麻醉科
- Keywords:
Transnasal humidified rapid-insufflation ventilatory exchange;
Hypoxemia;
Post-anesthesia care unit;
Pulse oxygen saturation
- From:
Journal of Medical Research
2024;53(7):125-129
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effectiveness of transnasal humidified rapid-insufflation ventilatory exchange(THRIVE)and conventional mask oxygen in treating patients with hypoxemia in the post-anesthesia care unit(PACU).Methods A total of 144 patients with immediate pulse oxygen saturation(SpO2)less than 95％following general anesthesia were selected at Beijing Tongren Hos-pital,Capital Medical University from June to December 2023.Patients were randomly divided into the THRIVE group(n=72)and the mask group(n=72),patients in the THRIVE group received oxygen therapy,and patients in the mask group received oxygen therapy.Continuous electrocardiogram monitoring was used.The SpO2 at different time points,the duration in PACU,and patient satisfaction be-tween the two groups were compared.Results The SpO2 of the THRIVE group after 1 minute of oxygenation was 98.40％±1.65％,which was significantly higher than that of the mask group 96.72％±1.87％,the difference was statistically significant(P＜0.05).The duration in PACU of the THRIVE group was 36.76±15.46min,which was significantly shorter than that of the mask group(44.38±21.73min),the difference was statistically significant(P＜0.05).There was no significant difference in SpO2 after returning to the ward between the two groups(P＞0.05).The satisfaction score of patients in the THRIVE group(18.31±1.00 points)was significantly higher than that in the mask group(17.46±1.17 points),the difference was statistically significant(P＜0.05).Conclusion THRIVE treatment for hypoxemia is significantly more effective than traditional mask oxygen therapy in the PACU.THRIVE effectively improves ox-ygenation,enhances the turnover rate in PACU,and increases the satisfaction of patient,and provides a more effective treatment approach for post-anesthesia hypoxemia.
