加温湿化氧疗在重型颅脑损伤患者中的应用研究  

Study on the Application of Warming and Humidifying Oxygen Therapy in Patients with Severe Craniocerebral Injury

作　　者：宋瑞珍 SONG Rui-zhen(Tianjin Huanhu Hospital,Tianjin 300222)

机构地区：[1]天津市环湖医院,天津300222

出　　处：《中国医疗器械信息》2021年第22期21-22,138,共3页China Medical Device Information

摘　　要：目的:研究在实施重型颅脑损伤患者治疗的过程中加温湿化氧疗的临床应用价值。方法:本次实验研究的对象是本院于2020年5月~2021年5月收治的56例重型颅脑损伤患者,根据患者家属治疗意愿的不同实现分组,其中将加温湿化氧疗作为治疗方法的28例患者作为研究组,将普通湿化瓶经导管给氧作为治疗方法的28例患者作为参照组。结果:氧疗后研究组患者经皮质氧饱和度、动脉血氧饱和度以及动脉血氧分压、动脉二氧化碳分压存在显著差异,P<0.05;氧疗前两组患者上述指标无统计学意义,P>0.05。统计学分析两组患者氧疗前后痰液黏稠度后可知,氧疗后研究组患者与参照组患者存在显著差异,P<0.05;氧疗前两组患者无统计学意义,P>0.05。对比研究组与参照组患者并发症发生率后可知,研究组患者明显低于参照组患者,P<0.05。结论:持续加温湿化氧疗是一种相对理想的氧疗方式,不仅可以更好地改善患者各项血气分析指标,同时,也降低了患者的痰液黏稠度以及并发症发生率,获得了较为理想的湿化效果。Objective:To study the clinical application value of adding temperature and humidity oxygen therapy in the treatment of patients with severe craniocerebral injury.Methods:This experiment research object is the hospital from May 2020 to May 2021 were among the 56 cases of severe craniocerebral injury patients,according to the will of family therapy in patients with different implementation group,which will add humidity oxygen therapy as treatment of 28 patients as a team,to pass through the catheter to ordinary bottle of wetting oxygen as a treatment method of 28 patients as control group.Results:After oxygen therapy,there were significant differences in transcortical oxygen saturation,arterial blood saturation,arterial oxygen partial pressure and arterial carbon dioxide partial pressure in the study group,P<0.05;There was no statistical significance in the above indexes in the two groups before oxygen therapy,P>0.05.Statistical analysis of sputum viscosity before and after oxygen therapy in the two groups showed that there was significant difference between the patients in the study group and the reference group after oxygen therapy,P<0.05;There was no statistical significance in the two groups before oxygen therapy,P>0.05.After comparing the incidence of complications between the study group and the reference group,the incidence of complications in the study group was significantly lower than that in the reference group,P<0.05.Conclusion:Continuous heating and humidifying oxygen therapy is a relatively ideal oxygen therapy method,which can not only better improve the patient’s blood gas analysis indicators,but also reduce the patient’s sputum viscosity and the incidence of complications,and achieve a relatively ideal humidifying effect.

关 键 词：加温湿化氧疗 湿化瓶给氧 重型颅脑损伤 动脉血氧饱和度 

分 类 号：R651.15[医药卫生—外科学]