氧驱动雾化在心脏病术后患者预防低氧血症疗效观察.docVIP

氧驱动雾化在心脏病术后患者预防低氧血症疗效观察 　　[摘要] 目的 研究心脏病患者手术后，应用氧驱动雾化方案对发生低氧血症的影响。 方法 随机选取该院于2013年1月―2015年1月收治的心脏病患者80例作为研究对象，随机分为对照组和试验组，每组40例患者，给予试验组术后实施氧驱动雾化方案，对照组术后不给予实施氧驱动雾化。观察两组患者的低氧血症发生情况，以及预后效果。 结果试验组发生低氧血症2例（4.0%），对照组发生9例（22.5%）；试验组患者治疗后的PaO2、PaCO2指标优于对照组；恢复优良率高、死亡率低，和对照组相比差异有统计学意义（P0.05）。结论 心脏病患者术后行氧驱动雾化方案效果显著，能够减少低氧血症的发生，改善血气指标，提高预后疗效，具有较高的应用价值，值得临床推广。 　　[关键词] 心脏病；氧驱动雾化；低氧血症；预后效果 　　[中图分类号] R654 [文献标识码] A [文章编??] 1674-0742（2015）11（c）-0066-02 　　[Abstract] Objective To study the effect of the oxygen derived aerosol in preventing hyoxemia of postoperative patients with heart disease. Methods 80 cases of patients with heart disease treated from January 2013 to January 2015 were selected as the research object and randomly divided into control group and experimental group with 40 cases in each ， the experimental group were given oxygen derived aerosol， the control group were not given oxygen derived aerosol， the occurrence of hyoxemia and prognosis effect of the two groups were observed. Results 2 cases were hyoxemia（4.0%） in the experimental group， and 9 cases were hyoxemia （22.5%）in the control group； after treatment， the indicators of PaO2 and PaCO2 were better than those in the control group； the excellent and good rate of recovery was high and the death rate was low compared with the control group， and the difference was statistically significant （P0.05）. Conclusion The effect of oxygen derived aerosol plan for patients with heart disease after operation is obvious， which can reduce the occurrence of hyoxemia， improve the blood gas index and improve prognosis effect and it is of great application value and is worth promoting in clinic. 　　[Key words] Heart disease； Oxygen derived aerosol； Hyoxemia； Prognosis effect 　　目前，我国为重心脏病发病率明显上升，严重威胁患者生命安全。而危重心脏病患者接受手术后，并发症较多，而常见的并发症之一为低氧血症。低氧血症是由心功能不全所引发的，不但会加重心肌缺氧损伤，引发肺水肿、心肌梗死等而且不利于患者预后[1]。该研究随机选取2013年1月―2015年1月该院收治的80例心脏病患者，分为两组比较探讨氧驱动雾化治疗在低氧血症中的临床效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　随机选取该院收治的心脏病患者80例，纳入时间段为2013年1月―2015年1月，随机