Page 162 - 北京京煤集团总医院第十届·2022学术年会论文集

北京京煤集团总医院 第十届·2022 学术年会论文集

经鼻高流量湿化氧疗在高龄呼吸衰竭低氧血症患者中的

应用

王小荣，侯军，崔荣恩，靳立娟（北京京煤集团总医院，北京 102300）
【摘要】目的：探讨经鼻高流量湿化氧疗对高龄呼吸衰竭低氧血症患者的应用效果。方法：

2018 年 1 月-2020 年 1 月收治高龄呼吸衰竭低氧血症患者 30 例，随机分为三组，各 10 例。
A 组采用经鼻高流量湿化氧疗；B 组采用常规氧疗；C 组采用无创呼吸机治疗。比较三组应

用效果。结果：A 组治疗舒适度及依从性均显著高于 B 组和 C 组，差异有统计学意义(P＜

0.05)；A 组气管插管率、住院时间和住院费用均显著低于 B 组和 C 组，差异有统计学意义

(P＜0.05)。结论：对高龄呼吸衰竭低氧血症患者实施经鼻高流量湿化氧疗，较之常规氧疗的

治疗效果更为明显，和无创呼吸机疗效相当，可提高患者的治疗舒适度和依从性，降低插管

率。

【关键词】高龄呼吸衰竭低氧血症；经鼻高流量湿化氧疗；常规氧疗；无创呼吸机

Application of transnasal high flow humidification oxygen therapy in elderly respiratory

failure patients with hypoxemia

Wang Xiaorong, Hou Jun, Cui Enrong, Jin Lijuan

Jing Coal Group General Hospital of Beijing City, Beijing 102300
Abstract Objective: To investigate the applied effect of transnasal high flow humidification

oxygen therapy on elderly respiratory failure patients with hypoxemia. Methods: From January
2018 to January 2020,30 cases of elderly respiratory failure patients with hypoxemia were enrolled,

they were randomly divided into three groups with 10 cases in each group. A group used transnasal

high flow humidification oxygen therapy. B group used conventional oxygen therapy. C group was

treated with non-invasive ventilator. The therapeutic effects of the three groups was compared.

Results: The comfort and compliance of patients in A group were significantly higher than those in

B group and C group, the differences were statistically significant(P＜0.05).The tracheal intubation

rate, length of hospital stays and hospitalization cost in A group were significantly lower than those

in B group and C group, the differences were statistically significant(P＜0.05). Conclusion:

Compared with conventional oxygen therapy, transnasal high flow humidification oxygen therapy

is more effective in elderly respiratory failure patients with hypoxemia, it has the same curative

effect as non-invasive ventilator, which can improve the patients' treatment comfort and compliance

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