【摘要】 目的研究经鼻导管高流量加温加湿氧疗在ICU患者中的应用价值。方法选取我院ICU2015年7月—2017年8月收治的88例低氧患者进行研究。所有患者采用随机数字表法分为两组,每组44例,分别给予经鼻导管高流量加温加湿氧疗(观察组)和传统吸氧(对照组),观察两组患者在呼吸情况和依从性方面的区别。结果观察组患者二氧化碳分压、呼吸频率低于对照组;观察组患者在舒适度、患者耐受性以及气道湿化情况方面明显优于对照组。两组数据相比有统计学差异(P <0.05)。结论 ICU患者经鼻导管高流量加温加湿氧疗能提高其氧合指数、舒适度及治疗的耐受性,改善气道湿化情况以便于痰液咳出,是一种新的有效的呼吸支持模式。更多还原

【Abstract】 Objective To observe the effect of nasal heated humidified high-flow oxygen therapy in ICU patients. Methods Eighty-eight patients in ICU from July 2015 to August 2017 were studied. All Patients were randomly divided into two groups. The patients in the experimental group(n =44) received nasal heated humidified high-flow oxygen therapy. The patients in the control group(n=44) received traditional oxygen therapy. The respiratory condition and compliance were compared between the two groups. Results The PCO2 and respiratory rate of the observation group were lower than those of the control group. Patients in the observation group were significantly better than those in the control group in comfort, tolerance and airway humidification. There were statistically significant differences between the two groups(P < 0.05). Conclusion Nasal heated humidified high-flow oxygen therapy is a new and effective intervention for respiratory, which can improve the oxygenation index, comfort, tolerance and airway humidification of the ICU patients and help them expectorate easily.更多还原