摘要
目的探讨经鼻高流量氧疗在急性呼吸窘迫综合征(ARDS)患者气管拔管后序贯治疗中的应用效果。方法选取贵阳市云岩区黔灵医院2019年收治的ARDS患者88例,按照随机数字表法分为对照组与试验组,各44例。对照组行气管拔管后经鼻导管吸氧治疗,试验组经鼻高流量氧疗。比较2组治疗前后动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、动脉血氧饱和度(SpO_(2)),比较2组舒适性评分、再插管率、满意度。结果治疗前2组PaO_(2)、PaCO_(2)、SpO_(2)比较,差异无统计学意义(P>0.05);治疗后试验组PaO_(2)、SpO_(2)高于对照组,PaCO_(2)低于对照组(P<0.05)。试验组舒适性评分高于对照组、再插管率低于对照组,满意度高于对照组(P<0.05)。结论经鼻高流量氧疗在ARDS患者气管拔管后序贯治疗中的应用效果良好,可提高舒适性,降低再插管率,从而提高患者满意度。
Objective To investigate the application effect of nasal high flow oxygen therapy in the sequential treatment of patients with acute respiratory distress syndrome(ARDS)after tracheal extubation.Methods A total of 88 cases of patients with ARDS were selected from 2019 in Guiyang Yunyan Qianling Hospital,which were divided into control group and experimental group according to random number table,44 cases in each group.The control group received oxygen inhalation via nasal catheter after tracheal extubation,and the experimental group received high flow oxygen therapy via nose.The arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2))and arterial oxygen saturation(SpO_(2))before and after treatment were compared between the two groups.The comfort score,re intubation rate and satisfaction of the two groups were compared.Results Before treatment,there was no significant difference in PaO_(2),PaCO_(2)and SpO_(2)between the two groups(P>0.05);after treatment,PaO_(2)and SpO_(2)in the experimental group were higher than those in the control group,while PaCO_(2)in the experimental group was lower than that in the control group(P<0.05).The comfort score of the experimental group was higher than that of the control group,the re intubation rate was lower than that of the control group,and the satisfaction of the experimental group was higher than that of the control group(P<0.05).Conclusion Nasal high flow oxygen therapy in ARDS patients with tracheal extubation after sequential treatment of good effect,improve comfort,can reduce re intubation rate,improve patient satisfaction.
作者
李蓓
何莲
LI Bei;HE Lian(Guiyang Yunyan Qianling Hospital,Guiyang 550000,China)
出处
《临床合理用药杂志》
2021年第12期35-37,共3页
Chinese Journal of Clinical Rational Drug Use
关键词
呼吸窘迫综合征
成年人
经鼻高流量氧疗
经鼻导管吸氧
治疗结果
Respiratory distress syndrome,adult
High flow oxygen therapy through nose
Oxygen inhalation through nasal catheter
Treatment outcome
