Objective To explore the application effect of high-flow oxygen therapy in patients with severe traumatic brain injury (sTBI) who underwent tracheotomy after decompressive craniectomy.Methods The clinical data of 80 patients with sTBI who underwent tracheotomy after decompressive craniectomy admitted from November 2020 to August 2021 were retrospectively analyzed.Among them,40 patients received conventional oxygen therapy with a tracheotomy mask (control group),and 40 patients received oxygen therapy with a high-flow oxygen therapy device via tracheotomy (observation group).The blood oxygen saturation,partial pressure of oxygen,partial pressure of carbon dioxide,oxygenation index,respiratory rate,and sputum viscosity were analyzed at 8 h,16 h,and 48 h after oxygen therapy in both groups.Results Compared with the control group,the partial pressure of oxygen,oxygenation index,respiratory rate,and sputum viscosity in the observation group were significantly better at 8 h,16 h,and 48 h after oxygen therapy (P<0.05).There was no statistically significant difference in the partial pressure of carbon dioxide between the two groups ( P>0.05).Conclusion For patients with sTBI who underwent tracheotomy after decompressive craniectomy,high-flow oxygen therapy via tracheotomy can significantly improve the oxygenation effect and reduce the viscosity of sputum compared with conventional oxygen therapy with a mask.
Severe traumatic brain injuryDecompressive craniectomyHigh-flow oxygen therapyTracheotomyEfficacy
万方数据
维普
