王敏 严姝霞 陈桂兰 瞿艳

[摘要] 目的 介绍一种便携式氧气瓶转运架在急诊患者转运过程中的应用效果。 方法 选取某三甲中医院急诊抢救室2019年3—11月需要转运的吸氧患者150例，3—5月50例为对照1组，6—8月50例为对照2组，9—11月50例为观察组，对照1组采用氧气袋，对照2组采用普通的氧气转运架，观察组采用便携式氧气瓶转运架，比较三组患者在转运途中氧气瓶与氧气管分离的次数、患者满意度和转运所需时间的差异。 结果 通过使用改良便携式氧气瓶转运架，观察组氧气瓶与氧气管分离的次数、转运所需时间明显小于对照1组、2组，差异有统计学意义（P<0.05）;观察组满意度高于对照1组、2组，差异有统计学意义（P<0.05）。 結论 使用便携式氧气装置转运架，能节省转运时间，保证患者持续吸氧，减少转运相关的不良事件，提高患者转运满意度。

[关键词] 转运;氧气瓶;转运架;危重症患者

[中图分类号] R459.7          [文献标识码] B          [文章编号] 1673-9701（2021）32-0181-04

[Abstract] Objective To introduce the application effect of a portable oxygen cylinder transfer rack in the process of emergency patient transfer. Methods A total of 150 cases of patients receiving oxygen inhalation who were in need of being transported from March to November 2019 in the emergency room of one of the tier three Chinese medicine hospitals were selected.50 patients who were transported from March to May were selected in the control group 1，50 patients who were transported from June to August were selected in the control group 2，and 50 patients who were transported from September to November were selected in the observation group.The control group 1 was given an oxygen bag， the control group 2 was given an ordinary oxygen transfer rack， and the observation group was given a portable oxygen cylinder transfer rack. The differences in the number of times the oxygen cylinder and the oxygen tube being separated during the transfer， patient satisfaction and the time required for transfer were compared between the three groups of patients. Results By using the improved portable oxygen cylinder transfer rack， the number of times the oxygen cylinder being separated from the oxygen tube and the time required for transfer in the observation group were significantly less than those in the control groups， and control group 2， and the differences were statistically significant（P<0.05）; the satisfaction degree in the observation group was higher than that in the two control groups， and control group 2， and the difference was statistically significant （P<0.05）. Conclusion The use of a portable oxygen cylinder transfer rack can save transfer time，ensure that patients continue to inhale oxygen， reduce transfer-related adverse events， and improve patients′ satisfaction with transfer.

[Key words] Transfer; Oxygen cylinder; Transfer rack; Critical patients

院内安全转运是指患者因诊断或治疗需要进行院内转运的情况。有文献[1]报道，虽然院内转运比院际之间转运更普遍，但院内转运没有被给予相同程度的重视。院内转运时危重患者易出现血压改变、血氧饱和度（SPO2）下降、心律失常等[2]，其中以SPO2降低最为常见[3-4]，发生率高达64.3%[5]。持续稳定给氧是保障危重患者得到有效、正确、安全救治的关键，保障危重患者成功转运的重要环节[6]。目前临床常使用的吸氧装置为氧气袋和便携式6 L氧气瓶，但便携式6 L氧气瓶与氧气袋均不能很好地随车固定放置，容易滑落，需由专人照应，氧气袋内氧气是通过大气压的作用自动排出，吸氧流量的大小不好掌控[7]。……