无创呼吸机与鼻导管吸氧在肺结核并呼吸衰竭患者中的应用对比分析  

Comparative Analysis of Noninvasive Ventilator and Nasal Catheter Oxy⁃gen Delivery in Patients with Pulmonary Tuberculosis and Respiratory Failure

作　　者：曹兆兰[1] 李铁成[1] 孙梦 CAO Zhaolan;LI Tiecheng;SUN Meng(Department of Tuberculosis,Lianyungang Fourth People's Hospital,Lianyungang,Jiangsu Province,222000 China;Department of Medical Science,Lianyungang Fourth People's Hospital,Lianyungang,Jiangsu Province,222000 China)

机构地区：[1]江苏省连云港市第四人民医院结核科,江苏连云港222000 [2]江苏省连云港市第四人民医院医务科,江苏连云港222000

出　　处：《系统医学》2023年第12期61-64,共4页Systems Medicine

摘　　要：目的对比分析无创呼吸机与鼻导管吸氧在肺结核并呼吸衰竭患者中的应用效果。方法选取2019年1月—2022年10月江苏省连云港市第四人民医院收治的肺结核并呼吸衰竭患者89例作为分析对象。以随机数表法分成对照组(44例)和研究组(45例)。在综合治疗基础上,对照组予以鼻导管吸氧治疗,研究组予以无创呼吸机治疗。比较两组临床治疗效果、血气指标变化、肺功能变化。结果研究组有效率为97.78%,高于对照组的81.82%,差异有统计学意义(χ^(2)=4.602,P<0.05)。治疗前,两组动脉血氧分压、动脉血二氧化碳分压、动脉血氧饱和度水平对比,差异无统计学意义(P>0.05);治疗后,研究组动脉血氧分压、动脉血氧饱和度水平高于对照组,但动脉血二氧化碳分压水平低于对照组,差异有统计学意义(P<0.05)。治疗前,两组用力肺活量、第1秒用力呼气容积和第1秒用力呼气容积/用力肺活量对比,差异无统计学意义(P>0.05);治疗后,研究组用力肺活量、第1秒用力呼气容积、第1秒用力呼气容积/用力肺活量均高于对照组,差异有统计学意义(P<0.05)。结论同鼻导管吸氧治疗方法相比,无创呼吸机在肺结核合并呼吸衰竭患者的实施效果较为明显,对肺功能的提升起到了积极促进效果,对血气功能相关指标起到一定的改善作用。Objective To compare and analyze the application effect of noninvasive ventilator and nasal catheter oxy⁃gen delivery in patients with pulmonary tuberculosis and respiratory failure.Methods A total of 89 patients with pul⁃monary tuberculosis and respiratory failure admitted to the Fourth People's Hospital of Lianyungang City,Jiangsu Province from January 2019 to October 2022 were selected as the analysis objects.They were divided into control group(44 cases)and study group(45 cases)by random number table method.On the basis of comprehensive treat⁃ment,the control group was given nasal catheter oxygen treatment,and the study group was given noninvasive ventila⁃tor treatment.The clinical therapeutic effect,changes of blood gas index and lung function were compared between the two groups.Results The effective rate of the study group was 97.78%,higher than that of the control group(81.82%),and the difference was statistically significant(χ^(2)=4.602,P<0.05).Before treatment,there was no statistically signifi⁃cant difference in the level of arterial partial pressure of oxygen,arterial partial pressure of carbon dioxide and arterial oxygen saturation between the two groups(P>0.05);after treatment,the level of partial pressure of arterial blood oxygen and saturation of arterial blood oxygen in the study group was higher than that in the control group,but the level of partial pressure of arterial blood carbon dioxide was lower than that in the control group,and the difference was sta⁃tistically significant(P<0.05).Before treatment,there was no statistically significant difference in forced vital capacity,forced expiratory volume at the first second and forced expiratory volume/forced vital capacity at the first second be⁃tween the two groups(P>0.05);after treatment,forced vital capacity,forced expiratory volume at the first second and forced expiratory volume at the first second/forced vital capacity in the study group were higher than those in the con⁃trol group,and the difference was statistically sign

关 键 词：肺结核 呼吸衰竭 无创呼吸机 鼻导管吸氧 肺功能 血氧饱和度 

分 类 号：R4[医药卫生—临床医学]