TY -的T1 -自动< em >与< / em >手动氧气政府应急部门的JF -欧洲呼吸杂志》乔和J - 10.1183/13993003.02552 -2016欧元六世- 50 - 1 SP - 1602552 AU - L是什么,该款AU -迪亚斯,帕特丽夏盟,Gouillou Maelenn盟——Riou安妮盟——Souquiere Luc盟——Paleiron尼古拉斯盟——ArchambaultPatrick AU - Bouchard, Pierre-Alexandre AU - Lellouche, François Y1 - 2017/07/01 UR - //www.qdcxjkg.com/content/50/1/1602552.abstract N2 -医院通常给氧，对治疗建议的依从性较差。我们开展了一项多中心随机对照研究，研究对象为急诊入院、O2≥3 L·min−1的患者。患者在3小时内随机分为自动闭环或手动O2滴定。根据动脉血二氧化碳张力(PaCO2)(低氧性PaCO2≤45mmhg;或高碳酸paco2 45 -≤55mmhg)和研究中心。脉搏血氧仪(SpO2)测量的动脉血氧饱和度目标为低氧血症患者92-96%，高碳酸血症患者88-92%。主要结果是SpO2靶区内%时间。次要终点为低氧血症和高氧患病率、缺氧脱机、缺氧持续时间和住院时间。187例患者被随机分组(93例自动，94例手动)，组间基线特征相似。在自动滴定条件下，SpO2目标内的时间更高(81±21% vs 51±30%，p<0.001)。 Time with hypoxaemia (3±9% versus 5±12%, p=0.04) and hyperoxia under O2 (4±9% versus 22±30%, p<0.001) were lower with automated titration. O2 could be weaned at the end of the study in 14.1% versus 4.3% patients in the automated and manual titration group, respectively (p<0.001). O2 duration during the hospital stay was significantly reduced (5.6±5.4 versus 7.1±6.3 days, p=0.002).Automated O2 titration in the emergency department improved oxygenation parameters and adherence to guidelines, with potential clinical benefits.Automated oxygen titration is superior to manual administration in terms of time within oxygenation targets http://ow.ly/pgWC30c2sLv ER -