摘要
目的探讨鼻氧管、氧气面罩和氧袋面罩三种吸氧方法治疗重型病毒性肺炎患者的临床效果。方法113例重型病毒性肺炎患者为研究对象,其中,32例接受鼻氧管吸氧氧疗(鼻氧管组),40例接受氧气面罩吸氧氧疗(氧气面罩组),41例接受氧袋面罩吸氧氧疗(氧袋面罩组)。对比三组患者吸氧治疗前后的血气分析监测结果[pH值、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、氧合指数(OI)、血氧饱和度(SpO_(2))],OI<300 mm Hg(1 mm Hg=0.133 kPa)持续时间、治疗有效率及气管插管率。结果治疗前,三组患者的pH值、PaO_(2)、PaCO_(2)、OI、SpO_(2)对比,差异无统计学意义(P>0.05)。氧袋面罩组治疗48 h后的pH值高于本组治疗前,差异具有统计学意义(P<0.05);氧袋面罩组治疗24、48 h后的PaO_(2)高于本组治疗前,且高于氧气面罩组及鼻氧管组同时点,差异具有统计学意义(P<0.05);氧袋面罩组治疗24、48 h后的OI高于氧气面罩组及鼻氧管组同时点,差异具有统计学意义(P<0.05);三组患者治疗24、48 h后的SpO_(2)均高于本组治疗前,差异具有统计学意义(P<0.05)。氧袋面罩组患者的OI<300 mm Hg持续时间为(8.32±3.82)d、治疗有效率为70.7%、气管插管率为19.5%;氧气面罩组患者的OI<300 mm Hg持续时间为(9.34±4.36)d、治疗有效率为67.5%、气管插管率为22.5%;鼻氧管组患者的OI<300 mm Hg持续时间为(12.35±4.64)d、治疗有效率为56.3%、气管插管率为31.3%。氧袋面罩组及氧气面罩组患者的OI<300 mm Hg持续时间均短于鼻氧管组,差异具有统计学意义(P<0.05);氧袋面罩组及氧气面罩组患者的OI<300 mm Hg持续时间对比,差异无统计学意义(P>0.05);三组患者的治疗有效率及气管插管率两两对比,差异无统计学意义(P>0.05)。结论氧气面罩、氧袋面罩吸氧氧疗应用于重型病毒性肺炎患者较鼻氧管吸氧氧疗可更明显改善患者的血气指标,具有较高的安全性。
Objective To discuss the clinical effect of nasal oxygen tube,oxygen mask,oxygen bag mask in the treatment of patients with severe viral pneumonia.Methods A total of 113 patients with severe viral pneumonia were studied,of which 32 cases received oxygen therapy by nasal oxygen tube(nasal oxygen tube group),40 cases received oxygen therapy by oxygen bag mask(oxygen bag mask group),and 41 cases received oxygen therapy by oxygen bag mask(oxygen bag mask group).Comparison was made on results of blood gas analysis[pH,arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2)),oxygenation index(OI),and oxygen saturation(SpO_(2))]before and after oxygen therapy,the duration of OI<300 mm Hg(1 mm Hg=0.133 kPa),treatment effective rate,and the rate of tracheal intubation among the three groups.Results Before treatment,there was no statistically significant difference in pH,PaO_(2),PaCO_(2),OI and SpO_(2) among the three groups(P>0.05).The pH value of the oxygen bag mask group after 48 h of treatment was higher than that before treatment in this group,and the difference was statistically significant(P<0.05).PaO_(2) of the oxygen bag mask group after 24 and 48 h of treatment was higher than that before treatment in this group,and higher than that of the oxygen mask group and nasal oxygen tube group at the same time point,and the difference was statistically significant(P<0.05).OI of the oxygen bag mask group after 24 and 48 h of treatment was higher than that of the oxygen mask group and nasal oxygen tube group at the same time point,and the difference was statistically significant(P<0.05).SpO_(2) of the three groups after 24 and 48 h of treatment was higher than that before treatment in this group,and the difference was statistically significant(P<0.05).The duration of OI<300 mm Hg in the oxygen bag mask group was(8.32±3.82)d,the treatment effective rate was 70.7%,the tracheal intubation rate was 19.5%;the duration of OI<300 mm Hg in the oxygen mask group was(9.34±4.36)d,the treatmen
作者
袁明亮
明文娟
叶忠
YUAN Ming-liang;MING Wen-juan;YE Zhong(First People's Hospital of Nankang District,Ganzhou 341400,China)
出处
《中国实用医药》
2024年第1期6-10,共5页
China Practical Medicine
关键词
重型病毒性肺炎
鼻氧管
氧气面罩
氧袋面罩
吸氧氧疗
血气分析
临床转归
Severe viral pneumonia
Nasal oxygen tube
Oxygen mask
Oxygen bag mask
Oxygen therapy
Blood gas analysis
Clinical outcome
