腺樣體扁桃體切除術後住院兒童的連續血氧監測：一項觀察性研究

// Continuous oximetry monitoring in children admitted after adenotonsillectomy, an observational study

147名術後兒童夜間SpO2監測(<85%>30s)｜13例8.8%≥1次嚴重缺氧，11例7.5%需補氧；PACU(術後恢復室)需氧為需氧預測因子(OR12.1)｜結論：嚴重缺氧罕見但可識別，有上呼吸道感染或PACU需氧者宜留觀，待研究。

// This prospective observational study used continuous overnight pulse oximetry to measure clinically significant desaturation (SpO2 <85% for >30 s) or need for supplemental oxygen in 147 non-syndromic children admitted after adenotonsillectomy. Thirteen children (8.8%) had ≥1 severe desaturation and 11 (7.5%) required overnight supplemental oxygen; those with severe events had more frequent and longer moderate desaturations. Need for supplemental oxygen in the PACU strongly predicted overnight oxygen requirement (OR 12.1, 95% CI 4.3–34.3; p<0.001). The authors conclude severe overnight desaturation is uncommon but identifiable and suggest considering overnight observation for patients with preoperative URI symptoms or PACU oxygen needs, with further study of predictors warranted.

Published 2026年9月17日