经鼻高流量加温湿化吸氧治疗在阻塞性肺病合并呼吸衰竭患者中应用疗效及护理措施分析

Analysis of the therapeutic effect and nursing measures of high-flow through the nose warming humidifying and oxygen inhalation in patients with obstructive pulmonary disease and respiratory failure

目的:分析经鼻高流量加温湿化吸氧治疗在阻塞性肺病合并呼吸衰竭患者中应用疗效及护理措施。方法:选取2018年5月至2020年10月期间本院ICU及呼吸科接收的84例阻塞性肺病合并呼吸衰竭患者作为此次研究对象,采用随机数字表法将其分为常规组和研究组,每组各42例。常规组采用常规治疗和护理,而研究组在常规组的基础上采用经鼻高流量加温湿化吸氧治疗,比较两组治疗前后的血氧饱和度(SPO_(2))、动脉血氧分压(PaO_(2))、二氧化碳分压(PaCO_(2))、插管率和病死率。结果治疗后,研究组的SPO_(2)、PaO_(2)均明显高于常规组,其PaCO_(2)低于常规组(P<0.05);同时,研究组的插管率(7.14%)明显低于常规组(26.19%),差异显著(P<0.05),而研究组的病死率(2.39%)略低于常规组(9.52%),但差异无统计学意义(P>0.05)。结论在阻塞性肺病合并呼吸衰竭患者中采用经鼻高流量加温湿化吸氧治疗及相应护理措施,能有效改善患者的血气指标和预后。

Objective:To analyze the therapeutic effects and nursing measures of high-flow nasal high-flow humidified oxygen therapy in patients with obstructive pulmonary disease and respiratory failure.Methods:A total of 84 patients with obstructive pulmonary disease and respiratory failure received in the ICU and respiratory department of our hospital from May 2018 to October 2020 were selected as the study objects,and they were divided into a routine group and a study group by a random number table method.42 cases each.The conventional group used conventional treatment and nursing care,while the study group used nasal high-flow,warming,humidification and oxygen inhalation therapy on the basis of the conventional group.The blood oxygen saturation(SPO_(2))and arterial partial pressure of oxygen(PaO_(2))were compared between the two groups before and after treatment.),carbon dioxide partial pressure(PaCO_(2)),intubation rate and mortality rate.Results:After treatment,the SPO_(2 )and PaO_(2) of the study group were significantly higher than those of the conventional group,and their PaCO_(2) was lower than that of the conventional group(P<0.05);at the same time,the intubation rate(7.14%)of the study group was significantly lower than that of the conventional group(26.19%))(P<0.05),while the fatality rate of the study group(2.39%)was slightly lower than that of the conventional group(9.52%),but the difference was not statistically significant(P>0.05).Conclusion:In patients with obstructive pulmonary disease and respiratory failure,the use of nasal highflow,warming,humidifying and oxygen inhalation therapy and corresponding nursing measures can effectively improve the blood gas indicators and prognosis of the patients.