Application Value of High Flow Nasal Cannula in Severe Rehabilitation Patients with Tracheotomy and Non-Mechanical Ventilation
Objective To investigate the application value of high flow nasal cannula(HFNC)in severe rehabilitation patients with tracheotomy and non-mechanical ventilation.Methods A retrospective analysis was performed on the medical records of 60 severe rehabilitation patients with tracheotomy and non-mechanical ventilation treated in Kunshan Rehabilitation Hospital from July 2022 to December 2023,according to different treatment methods,they were divided into a control group and an observation group,with 30 cases in each group.The control group was treated with conventional humidifying oxygen therapy,and the observation group was treated with HFNC.The incidence of hospital acquired pneumonia,sputum scab formation,satisfaction of airway humidification,average number of sputum aspiration and tracheal tube removal were compared between the two groups.Results The incidence of hospital-acquired pneumonia and the rate of sputum scab formation in observation group were lower than those in control group,and the differences between the groups were statistically significant(P<0.05);the satisfaction of airway humidification in the observation group was 93.33%,which was higher than 73.33%in the control group,and the difference was statistically significant(P<0.05);the average number of sputum aspiration in the observation group was(5.49±1.02)times,which was lower than(8.56±1.13)times in the control group,and the difference was statistically significant(P<0.05);the successful removal rate of tracheal tube in observation group was 50.00%,which was higher than 23.33%in control group,and the difference was statistically significant(P<0.05).Conclusion HFNC can reduce the risk of hospital acquired pneumonia and sputum scab formation in severe rehabilitation patients with tracheotomy and non-mechanical ventilation,improve the satisfaction of airway humidification,reduce the average number of sputum aspiration,and facilitate the successful removal of tracheal tubes.
Severe rehabilitation patients with tracheotomy and non-mechanical ventilationHumidified high flow nasal cannulaHospital acquired pneumoniaAverage suction frequency
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