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经鼻高流量加温湿化吸氧在重症肺炎患者中的疗效

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目的:探究经鼻高流量加温湿化吸氧在重症肺炎患者中的疗效.方法:选择2021年1月—2023年1月新余钢铁集团有限公司中心医院收治的110例重症肺炎患者,根据随机数字表法分为对照组(n=55)和观察组(n=55).对照组进行常规治疗联合无创机械通气治疗,观察组则进行常规治疗联合经鼻高流量加温湿化吸氧治疗.比较两组治疗总有效率、并发症发生率、血清指标[血清淀粉样蛋白A(SAA)及降钙素原(PCT)]、氧代谢指标[氧供指数(DO2I)、氧耗指数(VO2I)及氧摄取率(O2ER)]及肺表面活性物质[肺表面活性物质-A(SP-A)及肺表面活性物质-D(SP-D)].结果:观察组治疗总有效率高于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0.05).治疗前,两组血清指标、氧代谢指标及肺表面活性物质比较,差异均无统计学意义(P>0.05);治疗后,两组SAA、PCT均低于治疗前,DO2I、VO2I、O2ER、SP-A、SP-D均高于治疗前,且观察组SAA、PCT均低于对照组,DO2I、VO2I、O2ER、SP-A、SP-D均高于对照组,差异均有统计学意义(P<0.05).结论:经鼻高流量加温湿化吸氧在重症肺炎患者中的疗效较好,且可显著改善患者的SAA、PCT、氧代谢指标及肺表面活性物质.
Effect of Nasal High Flow Warming Humidification Oxygen Inhalation in the Treatment of Patients with Severe Pneumonia
Objective:To explore the curative effect of nasal high flow warming humidification oxygen inhalation in patients with severe pneumonia.Method:A total of 110 patients with severe pneumonia admitted to Central Hospital of Xinyu Iron & Steel Group Co.,LTD.from January 2021 to January 2023 were selected and divided into control group (n=55) and observation group (n=55) according to random number table method.The control group received conventional treatment combined with non-invasive mechanical ventilation,and the observation group received conventional treatment combined with nasal high flow warming humidification oxygen inhalation.The total effective rate,complication rate,serum indexes[serum amyloid A (SAA) and procalcitonin (PCT)],oxygen metabolism indexes[oxygen supply index (DO2I),oxygen consumption index (VO2I) and oxygen uptake rate (O2ER)]and pulmonary surfactant[pulmonary surfactant A (SP-A) and pulmonary surfactant-D (SP-D)]between the two groups were compared.Result:The total effective rate of treatment in the observation group was higher than that in the control group,and the complication rate was lower than that in the control group,the differences were statistically significant (P<0.05).Before treatment,there were no significant differences in serum indexes,oxygen metabolism indexes and pulmonary surfactant between two groups (P>0.05).After treatment,SAA and PCT in both groups were lower than those before treatment,DO2I,VO2I,O2ER,SP-A and SP-D were higher than those before treatment,and SAA and PCT in observation group were lower than those in control group,DO2I,VO2I,O2ER,SP-A and SP-D were higher than those in control group,the differences were statistically significant (P<0.05).Conclusion:The effect of nasal high flow warming humidification oxygen inhalation is better in patients with severe pneumonia,and it can significantly improve the SAA,PCT,oxygen metabolism indexes and pulmonary surfactant.

Nasal high flow warming humidification oxygen inhalationSevere pneumoniaOxygen metabolismPulmonary surfactant

陈敏、徐亚军、邓燕燕、曹清

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新余钢铁集团有限公司中心医院呼吸与危重症医学科 江西 新余 338001

经鼻高流量加温湿化吸氧 重症肺炎 氧代谢 肺表面活性物质

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(36)