摘要
目的观察在小儿重症肺炎中实施加温湿化经鼻高流量氧疗的临床效果。方法选取2020年4月—2023年6月本院儿童重症监护室收治的110例小儿重症肺炎患儿为研究对象,依照治疗方式的不同分为对照组(经鼻导管吸氧)、观察组(加温湿化经鼻高流量氧疗),每组55例,比较两组治疗效果。结果治疗后,观察组呼吸频率以及心率均低于对照组;观察组HCO_(3)(碳酸氢根)、PaO_(2)(氧分压)高于对照组,PaCO_(2)(二氧化碳分压)低于对照组;呼吸困难缓解天数以及住院时间均短于对照组(P<0.05)。结论对小儿重症肺炎实行加温湿化经鼻高流量氧疗能够进一步提升疾病的治疗效果,提升患者的血氧饱和度,缩短呼吸困难的恢复时间,值得临床推广。
Objective To observe clinical effect of warm and humidified nasal high flow oxygen therapy for severe pneumonia of children.Methods The paper chose 110 children with severe pneumonia in our pediatric intensive care unit from April 2020 to June 2023,and divided them into control group(treated with nasal cannula oxygen inhalation)and observation group(with warm humidified nasal high flow oxygen therapy)according to different treatment methods,with 55 cases in each group.Curative effect between two groups was compared.Results Respiratory rate and heart rate of observation group was lower than control group.HCO_(3) and PaO_(2) levels were higher than control group,while PaCO_(2) was lower than control group.Days of relief from breathing difficulties and length of stay were lower than control group(P<0.05).Conclusion Warm humidified nasal high flow oxygen therapy can further improve curative effect,increase blood oxygen saturation,shorten recovery of breathing difficulties of children with severe pneumonia,which is worthy of clinical promotion.
作者
宋海晓
董文淑
沈彤
SONG Haixiao;DONG Wenshu;SHEN Tong(Department of Pediatrics,Linyi City Central Hospital,Linyi,Shandong 276400)
出处
《智慧健康》
2024年第16期56-58,共3页
Smart Healthcare
关键词
加温湿化
经鼻高流量氧疗
小儿重症肺炎
临床效果
Warm and humidified
Nasal high flow oxygen therapy
Severe pneumonia of children
Clinical effect