Effect Analysis of High Flow Nasal Cannula and Non-Invasive Ventilator in the Treatment of Respiratory Failure Caused by Viral Pneumonia
Objective:To investigate the clinical effect of high flow nasal cannula(HFNC)and non-invasive ventilator(NIV)in the treatment of respiratory failure caused by viral pneumonia.Methods:Data of 120 patients with respiratory failure caused by viral pneumonia admitted to Ji'an Central People's Hospital from December 2021 to December 2022 were retrospectively selected as the study objects.According to different respiratory support programs within 6 h after onset,the patients were divided into NIV group and a HFNC group,with 60 cases in each group.The NIV group was treated with NIV,the HFNC group was treated with HFNC.The length of stay,hospitalization cost and comfort score,respiratory function,tracheal intubation rate and complications,psychological state of the two groups were compared.Results:The hospital stay of the HFNC group was shorter than that of the NIV group,the hospital cost was lower than that of the NIV group,and the comfort score was higher than that of the NIV group,with statistical significance(P<0.05).There were no significant differences in respiratory function between the two groups before treatment and 12,24 and 48 h after treatment(P>0.05).The incidence of complications in the HFNC group was 10.00%,which was lower than 25.00%in the NIV group,with statistical significance(P<0.05).The tracheal intubation rate in the HFNC group was 18.33%,which was lower than 23.33%in the NIV group,but the difference was not statistically significant(P>0.05).Twenty eight days after treatment,the scores of Hamilton Anxiety Scale and Hamilton Depression Scale in both groups were lower than before treatment,and those in the HFNC group were lower than those in the NIV group,with statistical significance(P<0.05).Conclusion:The improvement of respiratory function in patients with respiratory failure caused by viral pneumonia is basically the same after treatment with HFNC and NIV,but the comfort level of HFNC is relatively higher,the incidence of complications is lower,and the psychological state of patients is better,which is conducive to shortening hospital stay and reducing hospital costs,and has higher clinical application value.
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