首页|经鼻高流量氧疗在急诊急性呼吸困难及低氧血症患者中的治疗效果研究

经鼻高流量氧疗在急诊急性呼吸困难及低氧血症患者中的治疗效果研究

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目的 分析经鼻高流量氧疗在急诊急性呼吸困难伴低氧血症患者中的应用效果.方法 方便选取新沂市人民医院于2022年10月—2023年12月收治的91例急性呼吸困难伴低氧血症患者为研究对象,以随机数字表法分为研究组(n=45)和对照组(n=46).对照组行常规氧疗,研究组行经鼻高流量氧疗,两组均持续治疗1 h.对比两组的生理指标(心率、呼吸频率、平均动脉压)、血气指标(动脉血二氧化碳分压、血氧饱和度)和预后指标(插管率).结果 治疗前后,两组生理指标水平对比,差异无统计学意义(P>0.05).治疗后,两组生理指标水平均低于治疗前,差异有统计学意义(P均<0.05).治疗前,两组血气指标对比,差异无统计学意义(P>0.05).治疗后,研究组动脉血二氧化碳分压水平为(38.71±3.21)mmHg,血氧饱和度为(91.47±6.27)%,均优于对照组,差异有统计学意义(t=5.708、2.709,P均<0.05).研究组插管率低于对照组,差异有统计学意义(P<0.05).结论 对急性呼吸困难伴低氧血症患者实施经鼻高流量氧疗,可改善血气指标水平,并有助于降低插管率,从而降低患者机体损伤.
Study on the Therapeutic Effect of Nasal High Flow Oxygen Therapy in Patients with Acute Dyspnea and Hypoxemia in Emergency Department
Objective To analyze the effect of nasal high flow oxygen therapy in emergency patients with acute respira-tory distress and hypoxemia.Methods A total of 91 patients with acute dyspnea and hypoxemia admitted to Xinyi People's Hospital from October 2022 to December 2023 were conveniently selected as the research objects and di-vided into study group(n=45)and control group(n=46)by random number table method.The control group was treated with routine oxygen therapy,and the study group was treated with nasal high flow oxygen therapy.Both groups were treated for 1 h.The physiological indexes(heart rate,respiratory rate,mean arterial pressure),blood gas indexes(arterial partial pressure of carbon dioxide,blood oxygen saturation)and prognostic indexes(intubation rate)were com-pared between the two groups.Results Before and after treatment,there was no significant difference in the level of physiological indexes between the two groups(P>0.05).After treatment,the levels of physiological indexes in the two groups were lower than those before treatment,and the differences were statistically significant(both P<0.05).Before treatment,there was no significant difference in blood gas indexes between the two groups(P>0.05).After treatment,the arterial partial pressure of carbon dioxide in the study group was(38.71±3.21)mmHg,and the blood oxygen satura-tion was(91.47±6.27)%,which were better than those in the control group,the differences were statistically significant(t=5.708,2.709,both P<0.05).The intubation rate of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Nasal high-flow oxygen therapy for patients with acute dyspnea and hypoxemia can improve the blood gas index level and help to reduce the intubation rate,thereby reducing the body injury of patients.

Nasal high-flow oxygen therapyAcute dyspneaHypoxemia blood gas indicatorsBlood oxygen saturationSerum indicatorsTherapeutic outcome

王文强、刘如平

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新沂市人民医院急诊科,江苏 徐州 221400

经鼻高流量氧疗 急性呼吸困难 低氧血症 血气指标 血氧饱和度 治疗效果

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(18)
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