经鼻高流量湿化氧疗在急性呼吸衰竭患者中的应用  

Use of High-flow Nasal Cannula Oxygen Therapy in Acute Respiratory Failure Patients

作　　者：曾戈琳 ZENG Ge-lin(Intensive Care Unit,Jiexi People’s Hospital,Jieyang,Guangdong 515400)

机构地区：[1]广东省揭阳市揭西县人民医院重症医学科,广东揭阳515400

出　　处：《智慧健康》2021年第2期121-123,共3页Smart Healthcare

摘　　要：目的分析急性呼吸衰竭病患实施经鼻高流量湿化氧疗效果。方法选择在本院实施急性呼吸衰竭治疗的60例病患为研究样本,其研究时间均在2020年3月至2020年10月之间。采取随机数字排列表法将其分成常规组(30例)以及实验组(30例),予以常规组病患面罩无创正压通气治疗,予以实验组病患经鼻高流量湿化氧疗。对比每组病患治疗总有效率;干预前以及干预后2小时心率、呼吸、氧分压以及血氧饱和度水平;再插管率以及腹胀出现率。结果实验组与常规组病患治疗总有效率依次是96.67%、80.00%(P<0.05)。干预后2小时实验组病患心率以及呼吸水平均低于常规组,氧分压以及血氧饱和度水平均高于常规组(P<0.05)。实验组再插管率以及腹胀出现率均低于常规组(P<0.05)。结论急性呼吸衰竭病患实施经鼻高流量湿化氧疗,可提升治疗效果,改善病患氧合,降低再插管率以及腹胀出现率,发挥一定临床应用效果。Objective To analyze the high-flow nasal cannula oxygen therapy in acute respiratory failure patients.Methods 60 acute respiratory failure patients treated from March 2020 to October 2020 in our hospital were selected and assigned to routine group(30 cases)and test group(30 cases)according to random tabulation method.The routine group adopted the non-invasive positive pressure ventilation;the test group adopted the high-flow nasal cannula oxygen therapy.The total effective rate,the heart rate,respiratory rate,partial pressure of oxygen and oxygen saturation before intervention and after 2h of intervention as well as the re-intubation rates and incidences of abdominal distension were compared.Results Total effective rate in the test group and routine group was 96.67%and 80.00%(P<0.05).After 2h of intervention,the heart rate and respiratory rate in the test group were lower than routine group,the partial pressure of oxygen and oxygen saturation levels were higher than routine group(P<0.05).The re-intubation rates and incidences of abdominal distension in the test group were lower than routine group(P<0.05).Conclusion The high-flow nasal cannula oxygen therapy is of great value to improve the therapeutic effects and oxygenation index,and reduce the re-intubation rates and incidences of abdominal distension.

关 键 词：急性呼吸衰竭 氧疗 高流量 经鼻 面罩无创正压通气 

分 类 号：R563.8[医药卫生—呼吸系统]