摘要
目的:分析经鼻高流量湿化氧疗治疗重症监护室(ICU)大面积脑梗死合并呼吸衰竭患者的临床价值.方法:选取2018年10月至2020年10月本院ICU收治的214例大面积脑梗死合并呼吸衰竭患者为研究对象,根据不同治疗方式,将其分为观察组(n=107,经鼻高流量湿化氧疗)和对照组(n=107,常规鼻导管吸氧).比较两组患者症状改善情况、住院时间、血气分析指标[动脉血氧饱和度(SaO_(2))、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))]、不良反应及气管插管发生率.结果:观察组各项临床症状消失时间、住院时间均短于对照组,血气分析各指标显著优于对照组,不良反应总发生率和气管插管发生率明显低于对照组,差异均有统计学意义(P<0.05).结论:经鼻高流量湿化氧疗治疗ICU大面积脑梗死合并呼吸衰竭患者有较满意的临床效果.
Objective:To analyze the clinical value of nasal high flow humidified oxygen therapy in the treatment of patients with large area cerebral infarction combined with respiratory failure in intensive care unit(ICU).Methods:A total of 214 patients with large area cerebral infarction combined with respiratory failure admitted to ICU of our hospital from October 2018 to October 2020 were selected in this study.They were divided into observation group(n=107,nasal high flow humidified oxygen therapy)and control group(n=107,conventional nasal catheter oxygen inhalation)based on different treatment methods.The improvement of clinical symptoms,hospital stay,blood gas analysis indicators[arterial oxygen saturation(SaO_(2)),arterial partial pressure of oxygen(PaO_(2))and arterial partial pressure of carbon dioxide(PaCO_(2))],the incidence of adverse reactions and endotracheal intubation were compared between the two groups.Results:The improvement of clinical symptoms and hospital stay of the observation group were shorter than those of the control group.The blood gas analysis indicators of the observation group were significantly better than those of the control group.The total incidence of adverse reactions and tracheal intubation in the observation group were significantly lower than those in the control group.And all the above differences were statistically significant(P<0.05).Conclusion:The treatment of the patients with large area cerebral infarction combined with respiratory failure in ICU with nasal high flow humidified oxygen therapy has satisfactory clinical effects.
作者
栗亚明
张保江
卢滨
LI Ya-ming;ZHANG Bao-jiang;LU Bin(Department of Intensive Care Medicine,Zhengzhou People's Hospital,Zhengzhou 450053,China)
出处
《四川解剖学杂志》
2023年第1期68-70,共3页
Sichuan Journal of Anatomy
关键词
湿化氧疗
重症监护室
大面积脑梗死
Humidified oxygen therapy
Intensive care unit
Massive cerebral infarction
