高流量呼吸湿化治疗仪在程序化撤机中的应用

目的 探讨高流量呼吸湿化治疗仪在程序化撤机中的应用.方法 选取2017年6月—2017年12月温州医科大学附属第二医院重症监护治疗病房(ICU)行程序化撤机的患者80例,按照其给氧方式意愿分为观察组43例和对照组37例.观察组给予高流量呼吸湿化治疗仪给氧,对照组给予传统面罩给氧.记录两组患者在使用不同给氧方式后30 m...

Application of high-flow respiratory humidification therapyinstrument in programmed weaning process*

Objective To explore the application of high-flow respiratory humidification therapy instrumentin programmed weaning process. Methods Eighty patients who underwent programmed weaning at ICU in thehospital were divided into observation group (43 cases) and control group (37 cases) according to their willingnessof oxygen offering methods. The observation group was treated with high-flow respiratory humidification therapyinstrument for oxygen offering. The control group was treated with traditional mask oxygen offering method. Thearterial partial pressure of oxygen (PaO2), blood oxygen saturation (SpO2), modified british medical research council(mMRC), sputum viscosity, re-cathetering rate, and hospital stays in both groups at 30 min, 2 h and 24 h afterdifferent oxygen offering methods given to patients were recorded. Results There were differences in PaO2, SpO2,and mMRC at different time points (P < 0.05). There were differences in PaO2, SpO2, and mMRC between the twogroups at resting status (P < 0.05). PaO2 and SpO2 in observation group were higher than those in control group,while mMRC was lower than that in control group. There were differences in changes trend of PaO2, SpO2 andmMRC in the two groups (P <0.05). There was no significant difference in PaO2, SpO2, mMRC or sputum viscositylevel between the two groups at 30 min and 2 h after oxygen offering (P >0.05). At 24 h after oxygen offering, PaO2and SpO2 of the observation group were higher than those of the control group (P < 0.05), while mMRC was lowerthan that of the control group (P < 0.05), and the sputum viscosity level was better than that of the control group (P < 0.05). The re-cathetering rate of the observation group was lower than that of the control group (P < 0.05), andhospital stays was shorter than that of the control group (P < 0.05). Conclusion The application effect of high-flowrespiratory humidification therapy instrument is relatively better in the process of programmed weaning. It is worthyof clinical promotion and application.