一种改良式氧气呼吸器在Ⅰ型呼吸衰竭患者中的应用效果  

Application effect of an improved oxygen respirator in patients with typeⅠrespiratory failure

作　　者：边晓莉[1] 张颖惠[1,2] 杜文婷 杜嘉铭 Bian Xiaoli;Zhang Yinghui;Du Wenting;Du Jiaming(Second Hospital of Shanxi Medical University,Taiyuan,Shanxi 030001,China;School of Nursing,Shanxi Med-ical University,Taiyuan,Shanxi 030001,China)

机构地区：[1]山西医科大学第二医院感染性疾病科,山西太原030001 [2]山西医科大学护理学院,山西太原030000

出　　处：《中国药物与临床》2024年第7期428-431,共4页Chinese Remedies & Clinics

基　　金：山西省卫生健康委员会新冠研究科研项目(2023XG030)。

摘　　要：目的探讨一种改良式氧气呼吸器在Ⅰ型呼吸衰竭患者中的应用效果。方法选取2022年10月至2023年11月在入住山西医科大学第二医院Ⅰ型呼吸衰竭患者的临床资料,按照吸氧面罩的不同种类分为对照组和观察组共88例,对照组48例使用抗生素+普通面罩吸氧治疗,观察组40例使用抗生素+改良式氧气呼吸器治疗。比较2组患者脉搏血氧饱和度(SpO_(2))下降发生率、饮水呛咳发生率、腹胀发生率、患者满意度得分情况。结果2组患者SpO_(2)下降发生率和饮水呛咳发生率分别为21%、15%,差异均有统计学意义;与对照组相比,观察组患者满意度得分有所提升,为2.9分,差异有统计学意义;腹胀发生率降低了4%,差异无统计学意义。结论Ⅰ型呼吸衰竭患者应用改良式氧气呼吸器可降低因暂停吸氧造成的SpO_(2)下降发生率、饮水呛咳发生率,有助于提高患者满意度,患者获益大,可在临床广泛应用。Objective To explore the application effect of an improved oxygen respirator in patients with typeⅠrespiratory failure.Methods A total of 88 patients with typeⅠrespiratory failure who were admitted to our department between October 2022 and November 2023 were selected,and their clinical data were collected.The patients were divided into a control group and an observation group based on the type of oxygen mask used.The control group received treatment with antibiotics and conventional oxygen mask inhalation,while the observa-tion group received treatment with antibiotics and an improved oxygen respirator.The incidence rates of pulse oxy-gen saturation(SpO_(2))decrease,water choking,bloating,and patient satisfaction scores were compared between the two groups.Results The incidence rates of SpO_(2) decline and waterdrinking choking in the two groups were 21%and 15%,respectively,with statistically significant differences(P<0.05).Compared with the control group,the ob-servation group showed an improvement in patient satisfaction score by 2.9 points,with a statistically significant difference(P<0.05).The incidence rate of abdominal distension decreased by 4%,but the difference was not sta-tistically significant(P>0.05).Conclusion The application of the improved oxygen respirator in patients with typeⅠrespiratory failure can reduce the incidence rates of SpO_(2) decrease and water choking caused by oxygen inter-ruption,contribute to increased patient satisfaction,and provide significant benefits to patients.It can be widely applied in clinical practice.

关 键 词：呼吸功能不全 通气机 机械 氧吸入疗法 血氧饱和度 

分 类 号：R563.8[医药卫生—呼吸系统]