在人工气道纤维支气管镜检查中使用不同氧疗模式的对比研究

Effects of different oxygen treatment modes for fiberoptic bronchoscopy and treatment under artificial airway

目的探讨带有人工气道的患者在行纤维支气管镜检查治疗中使用不同氧疗模式的效果。方法采用便利抽样法,选择联勤保障部队第九八三医院重症医学科2018年3月—2019年3月收治的带有人工气道并需进行支气管镜检查的104例重症肺炎的患者为研究对象,随机分为对照组(52例)和试验组(52例)。比较两组患者干预前后生命体征变化。结果干预前,两组患者血压、心率比较,差异无统计学意义(P>0.05);干预中、干预后,对照组血压﹑心率均高于试验组,两组比较差异有统计学意义(P<0.05)。干预后,试验组患者低氧血症、心律失常发生例数均低于对照组,但两组比较差异无统计学意义(P>0.05)。结论高流量湿化氧疗仪在人工气道患者纤维支气管镜检查治疗中可降低患者术中的缺氧量,提高患者的舒适度,稳定生命体征,降低不良反应。

Objective To explore the effect of different oxygen treatment modes in patients with artificial airways undergoing fiberoptic bronchoscopy and treatment.Methods By convenience sampling,a total of 104 patients with severe pneumonia with artificial airway and requiring bronchoscopy who were admitted and treated in Department of Critical Care Medicine in 983 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army from March 2018 to March 2019 were selected as research objects.They were randomly divided into the control group(52 cases)and experimental group(52 cases).The changes of vital signs before and after intervention were compared between the two groups.Results Before the intervention,there were no statistically significant differences in blood pressure and heart rate between the two groups(P>0.05).During and after intervention,blood pressure and heart rate of the control group were higher than those of the experimental group,and the differences between the two groups were statistically significant(P<0.05).After the intervention,the number of patients with hypoxemia and arrhythmia in the experimental group were lower than that in the control group,but there were no statistically significant differences between the two groups(P>0.05).Conclusions In treatment of artificial airway patients with fiberoptic bronchoscopy,high flow humidification oxygen therapy instrument can reduce the amount of hypoxia during the operation,improve the comfort level of patients,stabilize vital signs and reduce adverse reactions.