经鼻高流量鼻导管湿化氧疗在肺炎合并呼吸衰竭患者有创呼吸机撤离后的应用

Application of Nasal High Flow Nasal Catheter Humidification Oxygen Therapy in Patients with Pneumonia and Respiratory Failure After Invasive Ventilator Evacuation

目的:探讨经鼻高流量鼻导管湿化氧疗在肺炎合并呼吸衰竭患者有创呼吸机撤离后中的应用效果。方法:选取2020年1月~2022年12月本院肺炎合并呼吸衰竭患者70例,随机分为对照组(有创呼吸机撤离后实施无创正压通气疗法)与观察组(经鼻高流量鼻导管湿化氧疗治疗),对比治疗效果。结果:观察组治疗总有效率、临床症状消失时间、炎性反应、呼吸困难评分优于对照组,对比有统计学意义(P<0.05)。结论:经鼻高流量鼻导管湿化氧疗有助于肺炎合并呼吸衰竭患者有创呼吸机撤离后临床症状及炎性反应改善,且安全性高。

Objective:To explore the application effect of nasal high flow nasal catheter humidification oxygen therapy in patients with pneumonia complicated with respiratory failure after invasive ventilator evacuation.Methods:70 patients with pneumonia complicated with respiratory failure in our hospital from January 2020 to December 2022 were selected and randomly divided into a control group(non-invasive positive pressure ventilation therapy after invasive ventilator evacuation)and an observation group(nasal high flow nasal catheter humidification oxygen therapy),and the treatment effects were compared.Results:The total effective rate,clinical symptom disappearance time,inflammatory response,and dyspnea score of the observation group were better than those of the control group,with statistical significance(P<0.05).Conclusion:Transnasal high flow nasal catheter humidification oxygen therapy can help improve clinical symptoms and inflammatory reactions in patients with pneumonia complicated with respiratory failure after invasive ventilator evacuation,and has high safety.