经鼻高流量氧疗对急性呼吸困难合并低氧血症患者的效果分析

Effect Analysis of Nasal High Flow Oxygen Therapy on Patients with Acute Dyspnea Complicated with Hypoxemia

目的:探究经鼻高流量氧疗对急诊急性呼吸困难合并低氧血症患者的效果。方法:回顾性选取2023年1月—2024年1月湄潭县人民医院收治的60例急性呼吸困难合并低氧血症患者的临床资料,根据治疗方式的不同将其分为对照组和研究组,各30例,对照组采用常规氧疗治疗,研究组采用经鼻高流量氧疗治疗,比较两组动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、脉搏血氧饱和度(SpO_(2))、急诊救治成功率及并发症发生率。结果:治疗后,研究组PaO_(2)、SpO_(2)高于对照组,PaCO_(2)低于对照组,差异均有统计学意义(P<0.05)。研究组急诊救治成功率100.00%高于对照组的83.33%,研究组并发症发生率3.33%低于对照组的20.00%,差异均有统计学意义(P<0.05)。结论:经鼻高流量氧疗治疗急性呼吸困难合并低氧血症患者效果显著,有助于改善患者血气指标水平,提高急诊救治成功率,降低并发症发生率。

Objective:To explore the effect of nasal high flow oxygen therapy in the treatment of emergency acute dyspnea complicated with hypoxemia.Methods:Data of 60 patients with acute dyspnea complicated with hypoxemia treated in Meitan County People’s Hospital from January 2023 to January 2024 were retrospectlvely selected as the study objects.According to treatment methods,they were divided into a control group and a research group,with 30 cases in each group.The control group was treated with conventional oxygen therapy,while the research group was treated with nasal high-flow oxygen therapy.Arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2)),pulse oxygen saturation(SpO_(2)),success rate of emergency treatment and incidence of complications were compared between the two groups.Results:After treatment,PaO_(2) and SpO_(2) in the study group were higher than those in the control group,and PaCO_(2) was lower than those in the control group,the differences were statistically significant(P<0.05).The success rate of emergency treatment in the study group was 100.00%,higher than 83.33%in the control group,and the complication rate in the study group was 3.33%,lower than 20.00%in the control group,with statistical significance(P<0.05).Conclusion:Nasal high-flow oxygen therapy is effective in the treatment of acute dyspnea complicated with hypoxemia,which is helpful to improve the blood gas index level of patients,increase the success rate of emergency treatment,and reduce the incidence of complications.