摘要
目的分析主动加热湿化氧疗技术在脑科重症患者气管切开撤机序贯氧疗中的应用效果。方法选取2021年1月至2022年10月广州中医药大学顺德医院收治的80例脑科重症气管切开呼吸机辅助通气拟撤机的患者作为研究对象,采用随机数字表法将其分为观察组和对照组,每组各40例。观察组患者使用高流量湿化氧疗系统,对照组患者使用湿热交换器。比较两组患者撤机后序贯氧疗后痰堵的次数、气道湿化程度、ICU停留时间、心率(HR)、呼吸频率(RR)、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、氧合指数(OI)。结果观察组的脱机后痰堵次数少于对照组,差异有统计学意义(P<0.05);观察组的气道湿化程度优于对照组,差异有统计学意义(P<0.05)。观察组脱机后ICU停留时间短于对照组,差异有统计学意义(P<0.05)。观察组脱机后序贯氧疗的第1、12、24、48、72小时HR、RR、PaCO_(2)均低于对照组,PaO2、OI均高于对照组,差异有统计学意义(P<0.05)。结论主动加热湿化氧疗技术在气切患者撤机后序贯氧疗中的临床效果显著,提升患者撤机成功率,撤机后患者各临床指标明显趋于正常,在临床具有应用价值。
Objective To analyze the application effect of active heating humidification oxygen therapy technology in sequential oxygen therapy for tracheotomy and withdrawal in severe patients with brain diseases.Methods A total of 80 patients with severe tracheotomy and ventilator assisted ventilation in the brain department who were to be withdrawn from Shunde Hospital,Guangzhou University of Chinese Medicine from January 2021 to October 2022 were selected as the study objects,and were divided into observation group and control group by random number table method,with 40 cases in each group.Patients in the observation group were treated with a high flow humidified oxygen therapy system,while patients in the control group were treated with a humid heat exchanger.The number of sputum blockage,degree of airway humidification,ICU stay time,heart rate(HR),respiratory rate(RR),arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2))and oxygenation index(OI)were compared between the two groups.Results The number of phlegm blockage after offline in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).The degree of airway humidification in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).The duration of ICU stay in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).HR,RR and PaCO_(2) in observation group were lower than those in control group at 1,12,24,48 and 72 hours after offline sequential oxygen therapy,while PaO2 and OI were higher than those in control group,with statistical significance(P<0.05).Conclusion The active heating humidification oxygen therapy technology has a significant clinical effect in sequential oxygen therapy for patients undergoing gas resection after weaning,improving the success rate of weaning.After weaning,all clinical indicators of patients tend to be normal
作者
梁富源
王伟桂
钟建
LIANG Fuyuan;WANG Weigui;ZHONG Jian(Department of Critical Care Medicine,Shunde Hospital,Guangzhou University of Traditional Chinese Medicine,Guangdong Province,Foshan528300,China)
出处
《中国当代医药》
CAS
2024年第11期33-36,共4页
China Modern Medicine
基金
广东省佛山市卫生健康管理局医学科研课题(20220156)
广东省佛山市“十四五”中医重点专科、特色专科和专病建设(培育)项目(TSZKJS25)
广东省佛山市“十四五”医学重点专科和培育专科项目(FSPY145053)。
关键词
主动加湿化氧疗
脑科重症
气管切开
撤机序贯氧疗
Active humidification oxygen therapy
Severe brain disease
Tracheotomy
Sequential oxygen therapy after withdrawal
