高流量呼吸湿化治疗仪在喉癌术后人工气道非机械通气患者中的应用效果研究  

Effect of high flow respiratory humidification therapy apparatus in patients with artificial airway without mechanical ventilation after laryngeal cancer surgery

作　　者：刘萍[1] 顾子君 储婷 陈曦[1] 程雷[1] LIU Ping;GU Zijun;CHU Ting;CHEN Xi;CHENG Lei(Department of Otorhinolaryngology,the First Affiliated Hospital,Nanjing Medical University,Nanjing 210029,Jiangsu,China)

机构地区：[1]南京医科大学第一附属医院/江苏省人民医院耳鼻咽喉科,江苏南京210029

出　　处：《山东大学耳鼻喉眼学报》2024年第5期31-36,共6页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：江苏省卫生厅面上项目(H2018013)

摘　　要：目的探讨高流量呼吸湿化治疗仪在喉癌术后人工气道非机械通气患者中的应用效果。方法随机选取行喉癌手术并在术后使用人工气道非机械通气的患者95例作为研究对象,对照组采用文丘里加温湿化氧疗装置进行气道湿化,观察组采用高流量呼吸湿化治疗仪高流量加温湿化,比较两组干预效果。结果95例中对照组53例、观察组42例,干预后两组患者的总住院天数、术后住院天数、每日吸痰次数、每日平均睡眠时间、每日憋气次数、湿化舒适度总分、疼痛改善情况等差异均具有统计学意义(P均<0.05)。结论对喉癌术后人工气道非机械通气患者使用高流量呼吸湿化治疗仪高流量加温湿化可改善患者气道湿化舒适度,促进痰液排出,缩短其总住院天数,改善患者预后。Objective To explore the application effect of high flow respiratory humidification therapy instrument in patients with artificial airway after laryngeal cancer surgery without mechanical ventilation.Methods Objective sampling method was used to randomly select patients who underwent laryngeal cancer surgery and underwent artificial airway with non-mechanical ventilation after surgery as study objects.The control group underwent airway humidification using Venturi's humidifying oxygen therapy device.The experimental group was treated with high flow respiratory humidification therapy apparatus with high flow temperature humidification,and the intervention effect of the two groups was compared.Results A total of 95 patients were included,including 53 patients in the control group and 42 patients in the observation group.There were statistically significant differences in the total number of days in hospital,postoperative hospital stay,number of sputum aspiration per day,average sleep time per day,number of breath-holding per day,total score of humidification comfort and pain between the two groups after intervention(all P<0.05).Conclusion For patients with artificial airway after laryngeal cancer surgery without mechanical ventilation,the use of high flow respiratory humidification therapy apparatus with high flow temperature humidification can improve the comfort of airway humidification,promote sputum discharge,shorten the total length of hospital stay and improve the prognosis of patients with laryngeal cancer.

关 键 词：喉癌 高流量呼吸湿化治疗仪 文丘里加温湿化氧疗装置 人工气道非机械通气 

分 类 号：R473.76[医药卫生—护理学]