谭勇 徐立勇

    [摘要] 目的 探讨高流量湿化氧疗(HHFNC)对颅脑损伤气管切开非机械通气患者的影响。 方法 选取2016年3月～2018年3月重庆市黔江中心医院收治的60例颅脑损伤气管切开非机械通气患者，依据治疗措施不同进行分组，对照组和观察组，每组各30例，对照组和观察组分别行常规的湿化氧疗和HHFNC。观察两组患者气道开放后3、7、10、14 d医院获得性肺炎的发生率，观察两组患者平均吸痰次数、痰痂形成率、痰液黏稠度及脱机后气道湿化效果。 结果 观察组患者医院获得性肺炎的发生率、吸痰次数、痰痂形成率及痰液黏稠度均低于对照组，脱机后气道湿化效果优于对照组，差异均有统计学意义(P < 0.05)。 结论 HHFNC治疗颅脑损伤气管切开非机械通气患者，可降低医院获得性肺炎的发生率、吸痰次数、痰痂形成率，改善痰液黏稠度，提高气道湿化效果，值得临床推广应用。

    [关键词] 高流量湿化氧疗；颅脑损伤；气管切开；非机械通气

    [中图分类号] R563.1；R651.15 [文献标识码] A [文章编号] 1673-7210(2018)10(a)-0092-04

    The influence of tracheotomy non-mechanical ventilation for craniocerebral injury patients by high flow oxygen therapy humidification

    TAN Yong XU Liyong▲

    Departament of ICU， Qianjiang Center Hospital of Chongqing， Chongqing 409099， China

    [Abstract] Objective To investigate the effect of humidified high flow nasal cannula (HHFNC) on patients with tracheal incision and non-mechanical ventilation. Methods Sixty patients with cranial incision and non-mechanical ventilation who were admitted to Minjiang Central Hospital of Chongqing from March 2016 to March 2018 were selected. Grouped according to treatment measures ......