高流量加温湿化氧疗在食管癌术后患者中的应用

Effect of heated humidified high-flow oxygen therapy in patients after esophageal cancer surgery

目的探究湿化器联合文丘里的高流量加温湿化氧疗在食管癌术后患者中的应用效果。方法将135例食管癌手术患者随机分为两组,干预组68例采用高流量加温湿化氧疗,对照组67例实施传统氧疗方法,比较两组氧疗舒适度、生命体征、痰液粘稠度、排痰效果。结果干预后干预组氧疗舒适度、术后3d血氧饱和度显著高于对照组,痰液粘稠度及排痰效果显著优于对照组(均P<0.01)。结论使用MR850湿化器联合文丘里行加温湿化氧疗可提高食管癌术后患者氧疗舒适度,促进痰液排出。

Objective To explore the effect of heated humidified high-flow oxygen therapy with the combination use of MR850 humidifier with Venturi mask in patients after esophageal cancer surgery.Method Totally,135 patients who underwent esophageal cancer surgery were randomly divided into 2 groups.The control group(n=67)received conventional oxygen therapy,while the intervention group(n=68)received heated humidified high-flow oxygen therapy.The comfort levels,vital signs,sputum viscosity,expectoration effect between the two groups were compared.Results The total comfort scores for oxygen therapy,the oxygen saturation level(PaO2)on the 3 rd postoperative day in the intervention group were significantly higher than those in the control group;the sputum viscosity of the intervention group was thinner and the expectoration effect was better in the intervention group than the controls(P<0.01 for all).Conclusion Heated humidified high-flow oxygen therapy with the combination use of MR850 humidifier with Venturi mask can improve comfort level of oxygen therapy among patients after esophageal cancer surgery,and promote sputum discharge.