摘要
目的探讨成人心脏术后高危患者撤机后使用高流量吸氧及无创通气的临床预后疗效。方法选取2020年6月—2022年6月贵州省人民医院收治的86例接受心脏外科手术后的患者作为研究对象。按照干预方式差异分为常规组和联合组,每组43例。常规组患者给予高流量氧疗技术,联合组给予高流量氧疗技术联合无创呼吸机辅助通气治疗。比较两组干预治疗前后血气指标、再插管率、呼吸衰竭发生率和呼吸困难评分。结果治疗后,联合组的动脉血氧分压、血氧饱和度、氧合指数、pH值高于常规组,差异有统计学意义(P均<0.05)。联合组在拔管后48 h、72 h、7 d的再插管率低于常规组,差异有统计学意义(P均<0.05)。联合组的呼吸衰竭率(4.65%)低于常规组(20.93%),差异有统计学意义(χ^(2)=5.108,P<0.05)。治疗24、48 h后,联合组的呼吸困难评分低于常规组,差异有统计学意义(P均<0.05)。结论成人心脏术后高危患者撤机后使用高流量氧疗技术与无创式呼吸机相结合干预效果显著,可有效改善患者呼吸困难症状和血气指标,可减少患者再插管和呼吸衰竭发生,有助于患者早日康复。
Objective To investigate the clinical prognostic effect of the use of high-flow oxygen and noninvasive ventilation in high-risk patients after withdrawal of the machine after adult cardiac surgery.Methods 86 patients who underwent postoperative cardiac surgery in Guizhou Provincial People's Hospital from June 2020 to June 2022 were selected as the study objects.They were divided into conventional group and combined group according to the difference of intervention methods,with 43 cases in each group.Patients in the conventional group were given high-flow oxygen therapy technology,and those in the combined group were given high-flow oxygen therapy technology combined with noninvasive ventilator-assisted ventilation.The blood gas indexes,reintubation rate,incidence of respiratory failure and dyspnea score before and after treatment were compared between the two groups.Results The pulmonary arterial oxygen tension,blood oxygen saturation,oxygenation index,and pH value of the combined group were higher than those of the conventional group after treatment,and the differences were statistically significant(all P<0.05).The reintubation rate in the combined group was lower than that in the conventional group at 48 h,72 h,and 7 d after removing the tube,and the differences were statistically significant(all P<0.05).The respiratory failure rate was lower in the combined group(4.65%)than in the conventional group(20.93%),and the difference was statistically significant(χ^(2)=5.108,P<0.05).The dyspnea scores of the combined group were lower than those of the conventional group after 24 h and 48 h of treatment,and the differences were statistically significant(both P<0.05).Conclusion The use of highflow oxygen therapy technology combined with non-invasive ventilator intervention after withdrawal of adult postoperative cardiac high-risk patients has a significant effect,which can effectively improve the patients'dyspnea and blood gas indexes,and can reduce the patients'reintubation and respiratory failure,which can help the patients'early recovery.
作者
李琨
叶八宁
LI Kun;YE Baning(Department of Intensive Care,Guizhou Provincial People's Hospital,Guiyang,Guizhou Province,550002 China)
出处
《系统医学》
2024年第7期87-90,共4页
Systems Medicine
关键词
高流量氧疗技术
无创呼吸机辅助通气治疗
心脏术后
High-flow oxygen therapy technology
Noninvasive ventilator-assisted ventilation therapy
Postoperative cardiac surgery
