经鼻高流量氧疗治疗肋骨骨折并肺挫伤疗效观察  

Effect on High Flow Oxygen Therapy on Rib Fracture combined with Pulmonary Contusion

作　　者：郑琦涵[1] 王长娟 郁婷婷[1] ZHENG Qi-han;WANG Chang-juan;YU Ting-ting(Department of Emergency,Wujin People's Hospital,Changzhou,Jiangsu Province,213004)

机构地区：[1]江苏省常州市武进人民医院急诊科,213004

出　　处：《岭南急诊医学杂志》2023年第6期541-542,560,共3页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨经鼻高流量氧疗(HFNC)在治疗肋骨骨折并肺挫伤中的应用效果。方法:以2023年1月至9月江苏省常州市武进人民医院急诊科南院收治的100例急诊肋骨骨折并肺挫伤患者为研究对象,按照随机数字表法均分为研究组(n=42)和对照组(n=45),分别使用HFNC和常规氧疗。比较两组氧合指标、呼吸机使用率及住院天数。结果:研究组呼吸频率、呼吸机使用率和住院时间均明显少于对照组(P<0.05)研究组血氧饱和度和氧合指数均明显高于对照组(P<0.05)。结论:与常规氧疗相比,HFNC用于肋骨骨折并肺挫伤能明显降低呼吸机使用率和住院时间,较好的改善呼吸频率和氧合指标。Objective:To explore the application effect of high-flow nasal cannula oxygen therapy(HFNC)in the treatment of rib fractures combined with lung contusion patients.Methods:100 patients with emergency rib fractures com-bined with lung contusion admitted to the hospital from Jan 2023 to Sep 2023 were selected as the study subjects.They were randomly divided into a study group(n=42)and a control group(n=45),received HFNC and routine oxygen thera-py respectively.The oxygenation indicators,ventilator usage rate,and length of hospital stay were compared between two groups.Results:The respiratory rate,using rate of ventilators and the hospitalization time in the study group were sig-nificantly lower than those in the control group(all P<0.05),while the blood oxygen saturation and oxygenation index in the study group were significantly higher than those in the control group(both P<0.05).Conclusion:Comparing with routine oxygen therapy,HFNC has a significantly reducing the use rate of ventilators and hospitalization time definite,and improving their respiratory frequency and oxygenation indicators.

关 键 词：高流量氧疗 肋骨骨折 肺挫伤 临床疗效 

分 类 号：R655[医药卫生—外科学]