无创通气深部鼻导管氧疗对超高龄军队老干部低氧血症的疗效分析  

Effect of Deep Nasal Catheter Oxygen Therapy with Noninvasive Ventilation on Hypoxemia of Super Elderly Military Cadres

作　　者：唐伏秋 王莉 马容莉 杨波 TANG Fuqiu;WANG Li;MA Rongli;YANG Bo(Department of Second Cadre Ward,General Hospital of Central Theater Command,Wuhan Hubei 430070,China)

机构地区：[1]中部战区总医院干部病房二科,湖北武汉430070 [2]中部战区总医院肿瘤科,湖北武汉430070

出　　处：《华南国防医学杂志》2022年第7期517-520,共4页Military Medical Journal of South China

基　　金：全军保健专项课题(15BJ214)。

摘　　要：目的探讨无创通气深部鼻导管氧疗对90岁以上超高龄军队离退休患者的疗效和耐受度,为低氧血症患者提供有效安全的给氧方式。方法收集作者科室新入院拟行无创通气的68例超高龄老年患者临床资料,将患者随机分为试验组和对照组。在常规抗感染治疗的同时,试验组给予面罩内深部鼻导管给氧,对照组给予单纯面罩氧疗。动脉血气分析分别检测两组患者动脉血氧分压(arterial partial pressure of oxygen,PaO_(2))和pH值,比较氧疗1 h和24 h治疗效果,以及患者对不同氧疗方式的耐受度。结果试验组患者氧疗前PaO_(2)(52.07±6.25)mmHg,氧疗1 h PaO_(2)(71.18±7.04)mmHg,氧疗24 h PaO_(2)(83.65±7.23)mmHg;对照组患者氧疗前PaO_(2)(51.42±6.09)mmHg,氧疗1 h PaO_(2)(65.49±6.52)mmHg,氧疗24 h PaO_(2)(77.75±7.16)mmHg。面罩内深部鼻导管给氧患者的PaO_(2)高于单纯面罩氧疗患者,鼻腔及咽部不适症状轻微,两组患者耐受度均较好。结论对于肺部感染合并低氧血症超高龄老年患者,无创通气时面罩内深部鼻导管给氧效果优于单纯面罩氧疗,值得临床推广应用。Objective To investigate the therapeutic effects and subjective acceptance of deep nasal catheter oxygen therapy with noninvasive ventilation in military retired super elderly patients over 90 years old,and to provide effective and safe oxygen delivery for patients with hypoxemia.Methods Clinical data from68 newly admitted super elder patients of pulmonary infection with hypoxemia in author′s department were collected.The patients were randomly divided into experimental group and control group.Conventional anti-infection and symptomatic treatment were carried out at the same time,the patients in experimental group were given intra-mask nasal catheter oxygen therapy,and the patients in control group were given simple mask oxygen therapy.Arterial blood gas analysis was conducted to detect arterial partial pressure of oxygen(PaO_(2))and pH value.The treatment effect of oxygen therapy lasting 1 hour and 24 hours and the subjective acceptance of different oxygen administration were compared.Results The experimental group was given PaO_(2)(52.07±6.25)mmHg before oxygen therapy,(71.18±7.04)mmHg after oxygen therapy for 1 hour and(83.65±7.23)mmHg after oxygen therapy for 24 hours.The control group was given PaO_(2)(51.42±6.09)mmHg before oxygen therapy,(65.49±6.52)mmHg after oxygen therapy for 1 hour and(77.75±7.16)mmHg after oxygen therapy for 24 hours.The PaO_(2)of patients with intra-mask nasal catheter oxygen therapy was higher than that of patients with simple mask oxygen therapy.The discomfort of nasal cavity and pharynx was mild,and the acceptance for patients in both groups was good.Conclusion For super elderly patients with pulmonary infection complicated with hypoxemia,intramask nasal catheter oxygen therapy shows better effects than simple mask oxygen therapy in noninvasive ventilation,and it is worthy of clinical application.

关 键 词：深部鼻导管给氧 无创通气 低氧血症 动脉氧分压 超高龄 

分 类 号：R563[医药卫生—呼吸系统]