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一种改良式氧气呼吸器在Ⅰ型呼吸衰竭患者中的应用效果

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目的 探讨一种改良式氧气呼吸器在Ⅰ型呼吸衰竭患者中的应用效果。方法 选取2022年10月至2023年11月在入住山西医科大学第二医院Ⅰ型呼吸衰竭患者的临床资料,按照吸氧面罩的不同种类分为对照组和观察组共88例,对照组48例使用抗生素+普通面罩吸氧治疗,观察组40例使用抗生素+改良式氧气呼吸器治疗。比较2组患者脉搏血氧饱和度(SpO2)下降发生率、饮水呛咳发生率、腹胀发生率、患者满意度得分情况。结果 2组患者SpO2下降发生率和饮水呛咳发生率分别为21%、15%,差异均有统计学意义;与对照组相比,观察组患者满意度得分有所提升,为2。9分,差异有统计学意义;腹胀发生率降低了4%,差异无统计学意义。结论 Ⅰ型呼吸衰竭患者应用改良式氧气呼吸器可降低因暂停吸氧造成的SpO2下降发生率、饮水呛咳发生率,有助于提高患者满意度,患者获益大,可在临床广泛应用。
Application effect of an improved oxygen respirator in patients with type Ⅰ respiratory failure
Objective To explore the application effect of an improved oxygen respirator in patients with type Ⅰ respiratory failure.Methods A total of 88 patients with type Ⅰ respiratory failure who were admitted to our department between October 2022 and November 2023 were selected,and their clinical data were collected.The patients were divided into a control group and an observation group based on the type of oxygen mask used.The control group received treatment with antibiotics and conventional oxygen mask inhalation,while the observa-tion group received treatment with antibiotics and an improved oxygen respirator.The incidence rates of pulse oxy-gen saturation(SpO2)decrease,water choking,bloating,and patient satisfaction scores were compared between the two groups.Results The incidence rates of SpO2 decline and waterdrinking choking in the two groups were 21%and 15%,respectively,with statistically significant differences(P<0.05).Compared with the control group,the ob-servation group showed an improvement in patient satisfaction score by 2.9 points,with a statistically significant difference(P<0.05).The incidence rate of abdominal distension decreased by 4%,but the difference was not sta-tistically significant(P>0.05).Conclusion The application of the improved oxygen respirator in patients with typeⅠ respiratory failure can reduce the incidence rates of SpO2 decrease and water choking caused by oxygen inter-ruption,contribute to increased patient satisfaction,and provide significant benefits to patients.It can be widely applied in clinical practice.

Respiratory insufficiencyVentilators,mechanicalOxygen inhalation therapyOxygen saturation

边晓莉、张颖惠、杜文婷、杜嘉铭

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山西医科大学第二医院感染性疾病科,山西太原 030001

山西医科大学护理学院,山西太原 030000

呼吸功能不全 通气机,机械 氧吸入疗法 血氧饱和度

山西省卫生健康委新冠研究科研项目

2023XG030

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(7)