首页|高流量吸氧与呼吸机序贯治疗呼吸衰竭的临床效果比较及对血清炎症因子的影响

高流量吸氧与呼吸机序贯治疗呼吸衰竭的临床效果比较及对血清炎症因子的影响

Comparison of Clinical Effect of High Flow Oxygen Inhalation and Sequential Ventilator in the Treatment of Respiratory Failure and its Influence on Serum Inflammatory Factors

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目的:分析高流量吸氧与呼吸机序贯治疗呼吸衰竭的临床效果及对血清炎症因子的影响.方法:以本院2020年3月~2021年2月收治的呼吸衰竭患者93例为观察对象.按照随机数字表法分作吸氧组46例与呼吸机组47例.吸氧组实施高流量吸氧治疗,呼吸机组呼吸机序贯治疗.分析治疗前后两组血气分析指标、心率、呼吸频率以及血清炎症因子等方面的差异.结果:吸氧组与呼吸机组总有效率对比差异无统计学意义(P>0.05).治疗后吸氧组PaO2、血氧饱和度均高于呼吸机组,而吸氧组心率低于呼吸机组,呼吸频率高于呼吸机组(P<0.05).治疗后吸氧组血清IL-6、IL-1β、IL-8水平均低于呼吸机组(P<0.05).结论:高流量吸氧与呼吸机序贯治疗呼吸衰竭在改善心率以及呼吸频率方面的差异不明显,但在改善患者血气指标以及炎症细胞因子方面优于呼吸机序贯治疗.
Objective:To analyze the clinical effect of high flow oxygen inhalation and sequential ventilator therapy on respiratory failure and its influence on serum inflammatory factors.Methods:93 patients with respiratory failure admitted to our hospital from March 2020 to February 2021 were observed.According to the random number table method,46 cases were divided into an oxygen inhalation group and 47 cases into a breathing group.The oxygen inhalation group received high-flow oxygen therapy,while the respiratory unit received sequential ventilator treatment with a ventilator.Analyze the differences in blood gas analysis indicators,heart rate,respiratory rate,and serum inflammatory factors between the two groups before and after treatment.Results:There was no statistically significant difference in the total effective rate between the oxygen inhalation group and the respiratory unit(P>0.05).After treatment,the PaO2 and blood oxygen saturation of the oxygen inhalation group were higher than those of the respiratory unit,while the heart rate of the oxygen inhalation group was lower than that of the respiratory unit,and the respiratory rate was higher than that of the respiratory unit(P<0.05).After treatment,the serum levels of IL-6,IL-1β and IL-8 in oxygen inhalation group were lower than those in respiratory group(P<0.05).Conclusion:High flow oxygen inhalation and sequential ventilator treatment for respiratory failure have no significant difference in improving heart rate and respiratory rate,but are superior to sequential ventilator treatment in improving blood gas indicators and inflammatory cytokines.

high flow oxygen inhalationhumidifier assisted ventilationrespiratory failure

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天津市第四中心医院(天津 300140)

高流量吸氧 湿化仪辅助通气 呼吸衰竭

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(8)
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