湿化高流量鼻导管氧疗在急性低氧性呼吸衰竭中的应用价值.docxVIP

湿化高流量鼻导管氧疗在急性低氧性呼吸衰竭中的应用价值 赵林潢桃 【摘要】Objective To explore the clinical value of humidified high flow nasal cannula oxygen therapy (HHFNC) oxygen therapy for acute hypoxic respiratory failure.Methods Totally 37 patients with acute hypoxic respiratory failure were enrolled who entered ICU from January 2016 to June 2016 and randomly divided into FM group (n=l8) and HHFNC group (n = 19).The values of blood gas analysis were recorded as before treatment,1 h and 5 h after therapy,respectively.Results 1 h and 5 h after therapy,both groups had significant increase in pa(O2) compared to before treatment (P 0.05).Meanwhile,HHFNC group had higher level ofpa(O2) in comparison to FM group (P 0.05).Conclusion HHFNC oxygen therapy has a therapeutic effect on acute hypoxic respiratory failure which helps to correct hypoxemia and improve subject feeling of comfort.% 目的:探讨湿化 高流量鼻导管(humidified high flow nasal cannula,HHFNC)氧疗在急性低氧性 呼吸衰竭中的应用价值.方法:选择某院重症医学科2016年1-6月收治的37例进 行氧疗的急性低氧性呼吸衰竭患者,随机分成面罩(face mask,FM)组(n = 18 )和 HHFNC组(n = 19).分别监测治疗前、治疗1h、治疗5h血气分析数值变化结果：2 组治疗1h、治疗5h时动脉血氧分压［pa(O2)］均显著高于治疗前(P 0.05).治疗 1h、治疗5h组间数据比较川HFNC组pa(O2)均显著高于FM组(P 0.05).结 论:HHFNC氧疗对急性低氧性呼吸衰竭具有较好的治疗效果，既能有效纠正缺氧，又 能提供很好的舒适度. 【期刊名称】《医疗卫生装备》 【年(卷)，期】2017(038)009 【总页数】3页(P61-63) 【关键词】湿化高流量鼻导管氧疗;呼吸衰竭;低氧血症;面罩法;血气分析 【作者】赵林;黄桃 【作者单位】400016重庆，重庆医科大学附属第一医院重症医学科;400016重庆, 重庆医科大学附属第一医院重症医学科 【正文语种】中文 【中图分类】R318;R563.8;R459.6 Abstract ObjectiveTo explore the clinical value of humidified high flow nasal cannula oxygen therapy(HHFNC)oxygen therapy for acute hypoxic respiratory failure.MethodsTotally 37 patients with acute hypoxic respiratory failure were enrolled who entered ICU from January 2016 to June 2016 and randomly divided into FM group(n = 18)and HHFNC group(n = 19).The values of blood gas analysis were recorded as before treatment,1 h and 5 h after therapy,respectively.Results1 h and 5 h after therapy,both groups had significant increase in pa(O2)compared to before treatment(P 0.05).Meanwhile,HHFNC group had hig