高流量氧气湿化在颅脑损伤合并气管切开患者中的应用

Application of high-flow oxygen humidification in patients with craniocerebral injury combined with gas-cut

目的探讨高流量氧气湿化在颅脑损伤合并气管切开患者中的应用。方法选取2018年9月~2019年2月赣南医学院第一附属医院收治的68例颅脑损伤合并气管切开患者为研究对象,采用抽签法随机分为参照组(34例)和研究组(34例),给予参照组常规气道湿化处理,给予研究组高流量氧气湿化处理。对比两组患者的湿化效果、并发症、吸痰次数。结果研究组患者的湿化效果优于参照组,差异有统计学意义(P<0.05)。研究组患者的并发症总发生率低于参照组,差异有统计学意义(P<0.05)。研究组患者的吸痰次数少于参照组,差异有统计学意义(P<0.05)。结论对颅脑损伤合并气管切开患者行高流量氧气湿化处理,有效改善气道湿化情况,降低并发症,减少吸痰次数。

Objective To investigate the application of high-flow oxygen humidification in patients with craniocerebral injury combined with gas-cut.Methods From September 2018 to February 2019,68 patients with head injury and tracheotomy treated in First Affiliated Hospital of Gannan Medical University were selected as subjects.The control group was treated with routine airway humidification and the study group was treated with high flow oxygen humidification.The humidification effect,complications and sputum aspiration times were compared between the two groups.Results The humidification effect in the study group was better than that in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).The number of sputum aspiration in the study group was fewer than that in the control group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion High flow oxygen humidification is performed in patients with craniocerebral injury complicated with air resection,which can effectively improve airway humidification,reduce complications and reduce sputum aspiration.