文丘里加热湿化罐给氧对患者气道湿化及氧疗效果和肺功能影响  

Effects of oxygen given by venturi heating humidification tank on airway humidification,oxygen therapy effect and pulmonary function

作　　者：罗贵玲 宋宏[1] 朱虹 LUO Gui-ling;SONG Hong;ZHU Hong(Department of Intensive Care Unit,Anyang Sixth People's Hospital,Anyang 455000,China)

机构地区：[1]安阳市第六人民医院重症医学科,河南安阳455000

出　　处：《社区医学杂志》2022年第3期155-159,共5页Journal Of Community Medicine

摘　　要：目的探讨文丘里加热湿化罐给氧与传统微量注射泵持续气道湿化吸氧对人工气道管理患者的应用效果,并分析对患者气道湿化及氧疗效果、肺功能及并发症的影响。方法选取2018-01-01-2021-01-01安阳市第六人民医院收治的人工气道治疗患者94例作为研究对象,应用随机数字分组法,依照等比例将患者随机分为观察组(47例)与对照组(47例)。给予对照组患者微量注射泵持续气道湿化吸氧,给予观察组患者文丘里加热湿化罐吸氧,对比2组患者气道湿化效果、血气指标、肺功能治疗与并发症发生率。采用SPSS 23.0对数据进行统计学分析。计数资料以百分比或率表示,组间差异进行χ^(2)检验。结果观察组湿化过度与湿化不足为1例(2.13%),低于对照组10例(21.28%);观察组湿化满意44例(93.62%),高于对照组29例(61.70%),差异有统计学意义,P值分别为0.004和0.001。气道管理前2组患者动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))以及动脉血氧饱和度(SaO_(2))水平比较差异无统计学意义,P值分别为0.072、0.923和0.925;气道管理后2组患者SaO_(2)、PaO_(2)水平均升高,观察组高于对照组,PaCO_(2)水平降低,观察组低于对照组,差异有统计学意义,P值分别为0.001、0.005和0.001。2组患者气道管理前肺一氧化碳扩散量(DL-CO)、残余量与总肺容积之比(RV/TLV)以及第1秒用力呼气量与用力肺活量比值(FEV1/FVC)指标比较差异无统计学意义,P值分别为0.865、0.881和0.775;气道管理后2组患者DL-CO、FEV1/FVC水平均升高,观察组高于对照组,RV/TLV水平降低,观察组低于对照组,差异有统计学意义,P值分别为0.001、0.001和0.001。观察组患者肺部感染、气道黏膜损伤、痰栓、刺激性咳嗽等相关并发症发生率分别为42.55%、6.38%、2.13%、6.38%,低于对照组的19.15%、23.40%、17.02%、25.53%,差异有统计学意义,P值分别为0.025、0.023、0.014和0.011。结论对人工Objective To investigate the effect of oxygen supply by venturi heating humidifier on airway humidification,oxygen therapy,pulmonary function and complications in patients with artificial airway management.Methods Totally 94 patients treated with artificial airway in Anyang Sixth People’s Hospital from January 1,2018 to January 1,2021 were selected as the research objects.The patients were randomly divided into observation group(n=47)and control group(n=47)by random number grouping method.The patients in the control group were given continuous airway humidification and oxygen inhalation with micro injection pump,and the patients in the observation group were given oxygen inhalation with venturi heating humidification tank.The airway humidification effect,blood gas index,pulmonary function treatment and complication rate of the two groups were compared.The data were statistically analyzed by SPSS 23.0.The counting data were expressed in percentage or rate,and the difference between groups was analyzedχ^(2) Inspection.Results The number of patients who were excessive and insufficient humidification in the observation group was less than 1(2.13%),significantly lower than that in the control group of 10 cases(21.28%),and the number of patients with satisfied humidification in the observation group was 44(93.62%),significantly higher than that in the control group of 29(61.70%).The difference was statistically significant(P=0.004;0.001);Before airway management,there was no significant difference in the levels of arterial oxygen partial pressure(PaO_(2)),arterial carbon dioxide partial pressure(PaCO_(2))and arterial oxygen saturation(SaO_(2))between the two groups(P=0.072;0.923;0.925).After airway management,the levels of SaO_(2)and PaO2in the observation group were higher than those in the control group,the level of PaCO_(2)decreased,and the level of PaO_(2)in the observation group was lower than that in the control group(P=0.001;0.005;0.001),After airway management,the levels of SaO_(2)and PaO_(2)in the observati

关 键 词：文丘里加热湿化罐 人工气道管理 气道湿化 氧疗效果 肺功能 

分 类 号：R472[医药卫生—护理学]