不同给氧方法在脑肿瘤术后气管切开患者氧疗中的应用  

Comparison of different oxygen supply methods in oxygen therapy for patients with tracheotomy after brain tumor operation

作　　者：李杰[1] 

机构地区：[1]哈尔滨医科大学附属肿瘤医院,黑龙江哈尔滨150000

出　　处：《实用临床医药杂志》2017年第2期50-52,共3页Journal of Clinical Medicine in Practice

基　　金：黑龙江省应用技术研究与开发计划项目(GA15C108)

摘　　要：目的探讨脑肿瘤术后气管切开患者氧疗中实施不同给氧方法的效果。方法选取脑肿瘤术后气管切开患者60例,按照随机数字法分为鼻导管组、人工鼻组、面罩组各20例,分别实施鼻导管吸氧、人工鼻吸氧及面罩法吸氧。观察3组患者氧疗前、氧疗1 h、氧疗24 h时的血氧饱和度、痰液黏稠度(Ⅲ度)以及并发症(肺部感染与切口感染)发生情况并进行统计学分析。结果 3组患者在吸氧1 h、吸氧24 h时的血氧饱和度均比吸氧前有显著提高(P<0.05),但面罩组提高幅度显著更高(P<0.05);鼻导管组与面罩组吸氧1 h、吸氧24 h时的痰液黏稠(Ⅲ度)率相比吸氧前显著下降(P<0.05),优于人工鼻组(P<0.05);面罩组与人工鼻组的肺部感染与切口处感染发生率差异无统计学意义(P>0.05),均显著低于鼻导管组(P<0.05)。结论面罩吸氧应用在脑肿瘤术后气管切开患者中有良好效果,不仅可快速平稳改善血氧饱和度,而且能降低痰液黏稠度以及肺部感染与切口感染的发生率,值得借鉴。Objective To investigate the effect of different oxygen supply methods in the treatment of patients with tracheal incision after brain tumor surgery. Methods A total of 60 trache- otomy patients with brain tumor in our hospital were divided into nasal catheter group, artificial nose group, mask group, with 20 cases in each group, given therapy of nasal catheter oxygen, artificial nose oxygen and mask oxygen inhalation, respectively. Blood oxygen saturation, sputum viscosity （III）, and complications （pulmonary infection and incision infection） before oxygen and at 1, 24 h of oxygen therapy were analyzed. Results Blood oxygen saturation was significantly increased at 1, 24 h of oxygen therapy compared with inhalation before （ P 〈 0.05 ）, but the mask group increased more than the other two groups（P 〈0.05）. Sputum viscosity （III） rate in nasal catheter group and mask oxygen inhalation group at 1, 24 h of oxygen was significantly decreased compared with inhala- tion before （P 〈 0.05 ）, and was better than the artificial nose group （ P 〈 0.05 ）. There was no sig- nificant difference in lung infection and incision infection in mask group and artificial nose group （ P 〉 0.05 ）, but were significantly lower than nasal catheter group （P 〈 0.05 ）. Conclusion Oxy- gen mask used in brain tumor surgery patients with tracheotomy not only can quickly and steadily im- prove blood oxygen saturation, reduce sputum viscosity, pulmonary infection and incidence of wound infection, so it is worthy of promotion.

关 键 词：脑肿瘤 气管切开 氧疗 给氧方式 

分 类 号：R473.73[医药卫生—护理学]