细节护理在低氧性呼吸衰竭患者经鼻高流量湿化氧疗中的应用效果  

The Application Effect of Detailed Nursing in Nasal High Flow Humidified Oxygen Therapy for Patients with Hypoxic Respiratory Failure

作　　者：吴秀萍 WU Xiuping(Department of Respiratory and Critical Care Medicine,Second Hospital of Sanming City,Sanming 366000,China)

机构地区：[1]三明市第二医院呼吸与危重症医学科,三明366000

出　　处：《中国医药指南》2024年第28期142-144,共3页Guide of China Medicine

摘　　要：目的研究细节护理在低氧性呼吸衰竭患者经鼻高流量湿化氧疗中的应用效果。方法选取三明市第二医院呼吸与危重症医学科于2021年1月至2023年10月收治的低氧性呼吸衰竭患者70例,均采用经鼻高流量湿化氧疗,采用随机数字表法分组,两组各35例。两组均采用经鼻高流量湿化氧疗、肺保护通气策略。对照组采用常规护理,观察组采用细节护理。对比两组临床恢复指标、痰液黏稠度、疾病好转情况、心率、呼吸频率、不良事件情况。结果观察组血气分析指标优于对照组,住院时间短于对照组,痰液黏稠度优于对照组,治疗3 d后疾病好转情况优于对照组,心率、呼吸频率低于对照组,不良反应总发生率低于对照组(均P<0.05)。结论低氧性呼吸衰竭患者在经鼻高流量湿化氧疗期间采用细节护理的护理效果显著优于常规护理,患者血气分析指标好转,住院时间缩短,痰液黏稠度下降,疾病好转速度加快,心率、呼吸频率恢复更快,不良事件显著减少。Objective Explore the effect of nasal high flow humidified oxygen therapy combined with detailed nursing in patients with hypoxic respiratory failure.Methods Seventy patients with hypoxic respiratory failure admitted to the Respiratory and Critical Care Medicine Department of Sanming Second Hospital from January 2021 to October 2023 were selected,all of whom received nasal high flow humidified oxygen therapy.Using the random number table method as the grouping method for two groups,with 35 cases in each group.Both groups were treated with nasal high flow humidified oxygen therapy and lung protective ventilation strategy.The control group used conventional care and the observation group used detail care.Compare clinical recovery indicators,sputum viscosity,disease improvement,heart rate,respiratory rate,and adverse events between two groups.Results The blood gas analysis indexes of the observation group were better than those of the control group,the hospitalization time was shorter than that of the control group,the sputum viscosity was better than that of the control group,the improvement of the disease after 3 d of treatment was better than that of the control group,the heart rate and respiratory rate were lower than those of the control group,and the total incidence rate of adverse reactions was lower than that of the control group(all P<0.05).Conclusions The nursing effect of using detailed care during nasal high flow humidification oxygen therapy for patients with hypoxic respiratory failure is significantly better than conventional care.The patient's semester analysis indicators have improved,hospital stay has been shortened,sputum viscosity has decreased,the disease has improved faster,heart rate and respiratory rate have recovered faster,and adverse events have significantly decreased.

关 键 词：低氧性呼吸衰竭 经鼻高流量湿化氧疗 细节护理 

分 类 号：R563.8[医药卫生—呼吸系统] R473.5[医药卫生—内科学]