高流量湿化氧疗在NICU机械通气患者撤机中的应用体会  

The Experience of High-flow Humidified Oxygen Therapy in the Patients with Weaning from Ventilation in the NICU

作　　者：陈群好 褚夫田 张菁[1] 胡玉英 沈国锋[1] CHEN Qun-hao;CHU Fu-tian(Minhang Hospital Affiliated to Fudan University,Shanghai,201199,China)

机构地区：[1]复旦大学附属闵行医院,上海201199

出　　处：《中国初级卫生保健》2019年第3期82-83,86,共3页Chinese Primary Health Care

基　　金：海市闵行区科学技术委员会面上项目(2013MHZ047)

摘　　要：目的探讨高流量湿化氧疗与一般氧疗在神经外科重症监护室(Neurocranial Surgery Intensive Care Unit,NICU)机械通气患者撤机中运用的临床效果。方法将50例术后患者随机分成HF组26例和一般氧疗组24例,两组患者分别运用高流量湿化氧疗和常规给氧方法进行治疗。结果 HF组治疗的患者脱机的有效率明显高于对照组,而且护理工作量也有降低。结论高流量湿化氧疗更加有效对NICU脱机患者进行呼吸支持。OBJECTIVE To observe the efficacy of high-flow humidified oxygen therapy in artificial airway patients with weaning from ventilation in the Neurocranial Surgery Intensive Care Unit( NICU). METHODS 50 patients were randomly divided into the observation group(n=26) and the control group(n=24). The observation group was treated with high-flow and humidify oxygen therapy device, and the control group was given common oxygen device. RESULTS It was found that the efficacy and effect of high-flow humidified oxygen in patients with weaning from ventilation was higher significantly with shorter staying-time in the ICU, and less nursing workload compared with control group. CONCLUSION The airway humidification could provide more effective support in the weaning from ventilation in the NICU.

关 键 词：经鼻高流量湿化氧疗 机械通气 脱机 护理 

分 类 号：R19[医药卫生—卫生事业管理]