高流量吸氧与面罩吸氧在胸腔镜辅助食管癌根治术后氧疗效果对比

Comparison on the Effect of High Flow Oxygen Inhalation and Mask Oxygen Inhalation after Thoracoscopic Assisted Radical Resection of Esophageal Cancer

目的观察高流量湿化吸氧与常规面罩吸氧在食管癌患者行胸腔镜辅助食管癌根治术后治疗的临床效果。方法将36例择期行胸腔镜辅助下食管癌根治术后患者随机分为常规面罩吸氧对照组(A组)和高流量湿化吸氧治疗组(B组),对两组患者治疗2 h、6 h和24 h后的呼吸频率、动脉血气分析等指标进行比较,了解两种吸氧方式在食管癌患者行胸腔镜辅助食管癌根治术后治疗上的优劣。结果两组患者治疗2 h、6 h和24 h的呼吸频率、动脉血气分析发现,A组动脉氧饱和度、动脉血氧分压较B组降低,动脉血二氧化碳分压、呼吸频率较B组增高,两组比较差异有统计学意义(均P<0.01)。结论与常规面罩吸氧比较,高流量湿化面罩吸氧可以使胸腔镜辅助食管癌根治术后患者有更满意的氧合效果,值得在临床上推广。

OBJECTIVE To observe the clinical effect of high flow humidification oxygen inhalation and conventional mask oxygen inhalation in patients with esophageal cancer after thoracoscopic assisted radical resection of esophageal cancer.METHODS 36 patients were randomly divided into the conventional mask oxygen inhalation control group(group A)and the high-flow humidifying and oxygen-absorbing treatment group(group B),and the respiratory rates after 2 hours,6 hours and 24 hours in these two groups were randomly divided into the conventional mask oxygen-absorbing control group(group A)and the high-flow-humidification oxygen-absorbing treatment group(group B).The arterial blood gas analysis and other indexes were compared and compared,and the advantages and disadvantages of these two kinds of oxygen uptake methods in the treatment of esophageal cancer patients after radical operation of the patients with esophageal cancer were studied.RESULTS The respiratory frequency and arterial blood gas analysis of the two groups for 2 hours,6 hours and 24 hours showed that the arterial oxygen saturation and arterial partial pressure of oxygen in group A were lower than those in group B,and the partial pressure of carbon dioxide and respiratory rate in group A were significantly higher than group B.There was significant difference between these two groups(all P<0.05).CONCLUSION Compared with conventional mask oxygen inhalation,high flow humidification mask oxygen inhalation can make thoracoscopic assisted radical resection of esophageal cancer patients had more satisfactory aerobic effect,which was worth popularizing in clinics.