首页|无创正压通气与经鼻高流量湿化氧疗联合治疗老年呼吸衰竭患者的效果研究

无创正压通气与经鼻高流量湿化氧疗联合治疗老年呼吸衰竭患者的效果研究

扫码查看
目的 探讨无创正压通气与经鼻高流量湿化氧疗联合治疗老年呼吸衰竭的临床效果.方法 选择我院2022 年6 月—2023年 6 月收治的 50 例老年呼吸衰竭患者为研究对象,以随机数字表法将其分为对照组与观察组,各25例.对照组采用无创正压通气治疗,观察组将无创正压通气与经鼻高流量湿化氧疗交替联合使用.比较两组患者治疗不同时刻生命体征指标及血气指标,并统计患者并发症发生情况.结果 治疗 2、3 d后,观察组呼吸频率、心率均低于对照组,氧分压高于对照组,二氧化碳分压低于对照组,组间差异有统计学意义(P<0.05).观察组并发症总发生率为0.00%,低于对照组的24.00%,差异有统计学意义(P<0.05).结论 对老年呼吸衰竭患者以无创正压通气与经鼻高流量湿化氧疗交替联合治疗能改善生命体征及血气指标,并发症风险低.
Effect of Noninvasive Positive Pressure Ventilation Combined with Nasal High Flow Humidified Oxygen Therapy on Elderly Patients with Respiratory Failure
Objective To explore the clinical effect of noninvasive positive pressure ventilation combined with nasal high flow humidified oxygen therapy in the treatment of respiratory failure in the elderly.Methods Fifty elderly patients with respiratory failure admitted to our hospital from June 2022 to June 2023 were selected as the study objects,and were divided into a control group and an observation group by random number table method,with 25 cases in each group.The control group was treated with non-invasive positive pressure ventilation,and the observation group was alternately treated with non-invasive positive pressure ventilation and nasal high flow humidifying oxygen therapy.The indexes of vital signs and blood gas were compared between the two groups at different time of treatment,and the incidence of complications were counted.Results After 2 and 3 days of treatment,the respiratory rate and heart rate of the observation group were lower than that of the control group,the oxygen partial pressure was higher than that of the control group,and the carbon dioxide fraction was lower than that of the control group,with statistical significance(P<0.05).The incidence of complications in the observation group was 0.00%,which was lower than 24.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Non-invasive positive pressure ventilation combined with nasal high-flow humidified oxygen therapy can improve vital signs and blood gas indexes in elderly patients with respiratory failure,and the risk of complications is low.

Respiratory failureNoninvasive positive pressure ventilationHigh-flow humidified oxygen therapy through noseOld ageVital signsBlood gas index

朱然然

展开 >

汶上县人民医院呼吸与危重症医学科,山东济宁 272000

呼吸衰竭 无创正压通气 经鼻高流量湿化氧疗 老年 生命体征 血气指标

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(2)
  • 10