高流量鼻导管给氧与传统面罩给氧在重体质量COPD患者中的应用效果比较  

Comparison of efficacy of high-flow nasal cannula oxygen delivery and conventional mask oxygenation on COPD patients with heavy body mass

作　　者：王秋颖[1] 孙瑜霞[1] Wang Qiuying;Sun Yuxia(Department of Respiratory Medicine,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学第一附属医院呼吸内科,洛阳471000

出　　处：《中国实用医刊》2024年第3期41-44,共4页Chinese Journal of Practical Medicine

摘　　要：目的比较高流量鼻导管给氧与传统面罩给氧在重体质量慢性阻塞性肺疾病(COPD)患者治疗中的应用效果。方法前瞻性队列研究。抽取2020年6月至2023年3月河南科技大学第一附属医院收治的重体质量COPD患者76例作为研究对象,按照随机数字表法将患者分为面罩组与鼻导管组,每组38例。面罩组应用传统面罩给氧,鼻导管组应用高流量鼻导管给氧。比较两组的血氧指标、治疗效果及并发症发生率。结果治疗后,鼻导管组动脉血氧饱和度、动脉血氧分压、氧合指数均高于面罩组(P均<0.05),鼻导管组动脉血二氧化碳分压低于面罩组(P<0.05)。鼻导管组总有效率(97.37%,37/38)高于面罩组(81.58%,31/38),P<0.05。鼻导管组并发症发生率(10.53%,4/38)低于面罩组(28.95%,11/38),P<0.05。结论重体质量COPD患者治疗中应用高流量鼻导管给氧治疗的有效性和安全性均高于传统面罩给氧,可促进患者血氧恢复正常。Objective To compare the clinical effects of high-flow nasal cannula oxygen delivery and conventional mask oxygenation in the treatment of chronic obstructive pulmonary disease(COPD)patients with heavy body mass.Methods This study was a prospective cohort study.Seventy-six COPD patients with heavy body mass admitted to the First Affiliated Hospital of Henan University of Science and Technology from June 2020 to March 2023 were selected as the study subjects.They were divided into the mask group and the nasal catheter group using a random number table method,with 38 cases in each group.The mask group was given conventional mask oxygenation,while the nasal catheter group was given high-flow nasal cannula oxygen delivery.The blood oxygen indexes,therapeutic effects and incidence of complications of the two groups were compared.Results After treatment,the arterial oxygen saturation,arterial partial pressure of oxygen and oxygenation index of the nasal catheter group were higher than those of the mask group(all P<0.05);while arterial partial pressure of carbon dioxide of the the nasal catheter group was lower than that of the mask group(P<0.05).The total effective rate in the nasal catheter group was 97.37%(37/38),higher than the 81.58%(31/38)in the mask group(P<0.05).The incidence of complications in the nasal catheter group(10.53%,4/38)was lower than that in the mask group(28.95%,11/38),P<0.05.Conclusions Application of high-flow nasal cannula oxygen therapy in the treatment of COPD patients with heavy body mass is more effective and safer compared with traditional mask oxygenation.It can promote the normalization of blood oxygenation.

关 键 词：慢性阻塞性肺疾病 高流量鼻导管给氧 传统面罩给氧 重体质量 

分 类 号：R563.9[医药卫生—呼吸系统]