经鼻高流量鼻导管湿化氧疗治疗老年重症难治性肺炎合并呼吸衰竭患者的临床效果

Clinical Effret of Nasal High -Flow Catheter Wet Oxygen Therapy in the Treatment of Elderly Patients with Severe Refractory Pneumonia Complicated with Respiratory Failure

目的探讨经鼻高流量鼻导管湿化氧疗治疗老年重症难治性肺炎合并呼吸衰竭患者的临床效果。方法68例老年重症难治性肺炎合并呼吸衰竭患者随机分为两组,对照组采用无创机械通气治疗,观察组采用经鼻高流量鼻导管湿化氧疗治疗,比较两组的治疗效果。结果治疗后,观察组的MVV、FEV_(1)、PaO_(2)、SaO_(2)高于对照组,SGRQ评分、PaCO_(2)低于对照组(P<0.05)。结论经鼻高流量鼻导管湿化氧疗能有效改善老年重症难治性肺炎合并呼吸衰竭患者的血气分析指标、肺功能及呼吸功能。

Objective To explore the clinical effect of nasal high-flow catheter wet oxygen therapy in the treatment of elderly patients with severe refractory pneumonia complicated with respiratory failure.Methods 68 elderly patients with severe refractory pneumonia complicated with respiratory failure were randomly divided into two groups.The control group was treated with non-invasive mechanical ventilation,and the observation group was treated with nasal high-flow catheter wet oxygen therapy.The therapeutic effects of the two groups were compared.Results After treatment,MVV,FEV_(1),PaO_(2) and SaO_(2) in the observation group were higher than those in the control group,and SGRQ score and PaCO_(2) were lower than those in the control group(P<0.05).Conclusions Nasal high-flow catheter wet oxygen therapy can effectively improve the blood gas analysis indicators,lung function and respiratory function of elderly patients with severe refractory pneumonia complicated with respiratory failure.