高流量加温加湿氧疗在建立人工气道患者中的护理效果观察

Observation of Nursing Effects of High-Flow Humidified Oxygen Therapy in Patients with Artificial Airway

目的观察高流量加温加湿氧疗在建立人工气道患者中的应用效果。方法以泰州市人民医院急诊ICU 2023年1月~2024年1月收治的60例建立人工气道患者作为研究对象,所有患者在非机械通气期间均使用高流量加温加湿氧疗仪进行氧疗,评价患者痰液粘稠度、血气分析数值、感染指标等情况。结果使用高流量加温加湿氧疗前及后48h、72h患者痰液粘稠度比较差异有统计学意义(P<0.05),干预前后呼吸频率、PaO_(2)、SPO_(2)、心率及临床肺部感染评分差异有统计学意义(P<0.05)。结论高流量加温加湿氧疗在建立人工气道患者使用具有良好的效果,能促进痰液清除及肺部感染控制。

Objective To observe the application effects of high-flow humidified oxygen therapy in patients with artificial airways.Methods A total of 60 patients with artificial airways admitted to the Emergency ICU of our hospital from January 2023 to January 2024 were selected as the research subjects.All patients with artificial air⁃ways used high-flow humidified oxygen therapy during non-mechanical ventilation,and the viscosity of spu⁃tum,blood gas analysis values,and infection indicators were evaluated.Results The viscosity of sputum at 48 hours and 72 hours after high-flow humidified oxygen therapy showed statistically significant differences com⁃pared before the intervention(P<0.05).Differences in respiratory rate,PaO_(2),SPO_(2),heart rate,and clinical pul⁃monary infection scores before and after the intervention were statistically significant(P<0.05).Conclusion High-flow humidified oxygen therapy has good effects in patients with artificial airways,promoting sputum clearance and control of pulmonary infections.