经鼻高流量湿化氧疗护理的安全管理与对策

Safety management and countermeasures of the transnasal high flow humidification oxygen therapy nursing

目的:研究对经鼻高流量湿化氧疗(HFNC)提供护理干预的临床疗效及安全管理。方法:2018年1月-2019年1月收治呼吸系统疾病患者50例,进行HFNC治疗及相关护理干预。比较患者治疗与恢复结果。结果:所有患者接受HFNC治疗时间为42~132 h,使用高流量湿化吸氧30 min后患者动脉氧分压明显增高,呼吸频率降低,1 h氧合指数显著上升,呼吸困难症状改善时间为(47.3±15.6)min。接受气管插管内吸氧11例,HFNC后顺利过渡为鼻导管吸氧39例。所有患者接受HFNC治疗期间均无鼻周皮肤破损及其他症状发生。结论:HFNC治疗联合完善的护理干预可进一步提高疾病治疗效率,改善患者症状并缩短恢复时间,促进患者恢复及提高生活质量。

Objective:To study the clinical effect and safety management of nursing intervention for the transnasal high flow humidification oxygen therapy(HFNC).Methods:From January 2018 to January 2019,50 patients with respiratory system disease were treated with HFNC and nursing intervention.The results of treatment and recovery were compared.Results:The treatment time of HFNC was 42~132 h.After 30 min of high flow humidification oxygen therapy,the partial pressure of arterial oxygen was significantly increased and the respiratory rate was decreased,the 1-hour oxygenation index increased significantly,and the time for improvement of dyspnea was(47.3±15.6)min.11 cases received oxygen in the tracheal intubation,39cases smooth transition to nasal catheter oxygenation after transnasal high flow humidification oxygen therapy.No perinasal skin damage and other symptoms occurred during HFNC treatment.Conclusion:HFNC treatment combined with nursing intervention can further improve the efficiency of disease treatment,improve the symptoms of patients and shorten the recovery time,promote the recovery of patients and improve the quality of life.