经鼻导管湿化高流量吸氧治疗AECOPD患者的临床研究  

THE TREATMENT OF AECOPD PATIENTS WITH HIGH FLOW OXYGEN INHALATION THROUGH NASAL CATHETER HUMIDIFICATION

作　　者：耿玉青[1] GENG Yu-qing(Linyi Hospital of traditional Chinese medicine ,Linyi 276000, Chin)

机构地区：[1]临沂市中医医院,山东临沂276000

出　　处：《山东医学高等专科学校学报》2018年第3期164-166,共3页Journal of Shandong Medical College

摘　　要：目的观察经鼻导管湿化高流量吸氧治疗AECOPD患者的临床疗效。方法选取60例AECOPD患者,在气管插管脱机后将其分为观察组和对照组,每组30例。观察组给予经鼻导管湿化高流量氧疗,对照组给予文丘里面罩吸氧。比较两组患者的OI、PCO_2、R以及耐受性、舒适度、气道湿化情况等。结果观察组患者OI高于对照组,PCO_2、R低于对照组(P<0.05);在舒适度、耐受性以及气道湿化情况等得分低于对照组(P<0.01)。结论在AECOPD患者撤机后,经鼻导管湿化高流量吸氧能迅速改善患者呼吸状况,易为患者接受,值得在临床上推广应用。Objective To observe the clinical effect of high flow oxygen inhalation through nasal duct humidification on AECOPD patients.Methods 60 patients with AECOPD were selected and divided into observation group and control group after endotracheal intubation.The observation group was given high flow oxygen therapy via nasal catheter humidification and the control group was given venturi mask oxygen inhalation.The patients in the two groups were compared with OI,PCO2,R,tolerance,comfort and airway humidification.Results In the observation group,OI was higher than the control group,and PCO2 and R were lower than the control group（P〈0.05）.The scores of comfort,tolerance and airway humidification were lower than those of the control group（P〈0.01）.Conclusion After the withdrawal of AECOPD patients,high flow oxygen inhalation through nasal catheter humidification can improve the respiratory status of patients rapidly and is easy to be accepted by patients.Therefore,it is worthy of clinical application.

关 键 词：慢性阻塞性肺疾病 氧疗 氧合指数 二氧化碳分压 

分 类 号：R563[医药卫生—呼吸系统]