加温加湿高流量吸氧在重症儿童气道管理中的应用研究  

Application of Warming and Humidifying High-flow Oxygen in Airway Management for Severe Children

作　　者：李文芝 LI Wen-zhi(Department of Child and Intensive Care, Maoming Maternal and Child Health Hospital, Maoming, Guangdong Province, 525000 China)

机构地区：[1]茂名市妇幼保健院儿童重症医学科

出　　处：《中外医疗》2019年第17期123-125,共3页China & Foreign Medical Treatment

基　　金：茂名市科技计划项目(180322191700314)

摘　　要：目的探讨分析加温加湿高流量吸氧在重症儿童气道管理中的应用研究。方法方便选取2016年7月—2018年7月因肺部疾病入住儿童重症监护室的160例患儿,随机分为观察组(n=80例)与对照组(n=80例)。对照组患儿采用常规湿化瓶湿化高流量吸氧进行治疗,观察组患者采用加温加湿器高流量吸氧进行治疗。48h后,观察并比较两组患儿舒适度、痰液粘稠度及临床疗效之间的差异。结果观察组患儿的总舒适度评分(6.6±1.1)分皆明显高于对照组的(5.4±0.8)分(t=7.891,P=0.000),痰液黏稠度分级明显优于对照组(χ^2=2.212,P=0.027),临床治疗好转率78.75%明显高于对照组的63.75%(χ^2=4.394,P=0.036)。结论在气道管理中应用加温加湿高流量吸氧治疗重症儿童,舒适度得到更好的改善,痰液黏稠度明显降低,具有更高的临床疗效,值得推广应用。Objective To investigate the application of warming and humidifying high-flow oxygen in airway management in severe children. Methods A total of 160 children admitted to the intensive care unit for children with lung disease from July 2016 to July 2018 were convenient randomly divided into observation group (n=80 cases) and control group (n=80 cases). The children in the control group were treated with conventional humidification bottle humidification and high-flow oxygen inhalation. The patients in the observation group were treated with high-flow oxygen inhalation humidifier. After 48 hours, the differences between the comfort, sputum viscosity and clinical efficacy of the two groups were observed and compared. Results The total comfort score (6.6±1.1)points of the observation group was significantly higher than that of the control group (5.4±0.8) points (t=7.891, P=0.000), and the sputum viscosity classification was significantly better than the control group (χ^2=2.212, P=0.027), the clinical treatment improvement rate was 78.75%, which was significantly higher than that of the control group 63.75%(χ^2=4.394, P=0.036). Conclusion In the airway management, the application of warming and humidifying high-flow oxygen in the treatment of severe children, the comfort is better improved, the viscosity of sputum is significantly reduced, and it has higher clinical efficacy, which is worthy of popularization and application.

关 键 词：加温 加湿 高流量吸氧 重症儿童 气道管理 

分 类 号：R4[医药卫生—临床医学]