经鼻导管湿化高流量吸氧在ICU患者撤机后的应用效果分析(1)
[摘要] 目的 对ICU患者撤机后实施经鼻导管湿化高流量吸氧方案的临床价值进行评定。方法 研究从2014年1月—2017年5月间在该院ICU治疗且已撤机的患者中，方便选取出75例研究，以费雪派克湿化器对其实施经鼻导管湿化高流量吸氧方案，观察其治疗后1、8 h、24 h的呼吸指数、氧合指数以及二氧化碳分压指数等，并且对其气道组织湿化状况、舒适度以及耐受程度等进行评定。结果 75例患者的治疗后1 h呼吸指数(20.38±1.14)次/min，治疗后8 h是(22.87±2.26)次/min，治疗后24 h是(22.68±1.69)次/min。同时，患者气道组织湿化程度为(2.19±0.19)分，舒适度是(1.68±0.28)分，耐受程度为(1.19±0.17)分。结论 对于完成撤机操作的ICU患者，以费雪派克湿化器对其实施经鼻导管湿化高流量吸氧方案可控制其呼吸指数、氧合指数以及二氧化碳分压指数，且保证患者气道组织湿化水平、舒适度以及耐受程度，可推广。
[关键词] ICU病房；撤机后；费雪派克湿化器； 经鼻导管湿化高流量吸氧方案
[中图分类号] R459 [文献标识码] A [文章编号] 1674-0742(2017)09(b)-0082-03
[Abstract] Objective This paper tries to evaluate the clinical value of the nasal catheter wetting and high flow oxygen in the ICU patients after weaning. Methods 75 cases of ICU patients after weaning in this hospital from January 2014 to May 2017 were convenient selected as the research objects and were treated with fisher parker humidifier by nasal catheter wetting and high flow oxygen therapy， and then the breathing index， oxygenation index and carbon dioxide partial pressure index after 1 h， 8 h， 24 h treatment were observed， and the wetting condition of airway tissue， comfort degree， and the degree of tolerance were assessed. Results In the 75 patients， the breath index after 1h treatment was(20.38±1.14) times/min， and that of 8 h was (22.87±2.26)times/min， and that of 24 h was (22.68±1.69)times/min. At the same time， the degree of moisture in the patient’s airway tissue was(2.19±0.19)points， and the comfort level was (1.68±0.28)points， and the tolerance level was (1.19±0.17)points. Conclusion For the ICU patients who completed the weaning operation， the fischer parker humidifier was used to control the respiratory index， oxygenation index and carbon dioxide partial pressure index of the nasal catheter wetting and high flow oxygen regimen， and to ensure that the patient’s airway tissue wetting level， comfort and tolerance level， so it is worth promotion.
[Key words] ICU ward； After weaning； Fisher parker humidifier； Through the nasal catheter and the high discharge oxygen uptake scheme
当ICU患者接受有创机械通气方案且予以撤机后，通常需要持续实施吸氧治疗，且吸氧效果直接影响其恢复水平，所以要优化吸氧措施[1-2]。经鼻导管湿化高流量吸氧方案的推行，不仅能使患者氧合指数得到提高，而且还能提升其吸氧效果，而为了评价该吸氧方案的应用价值，通过方便抽取75例于2014年1月—2017年5月间在该院ICU治疗且已撤机的患者，期待可以改善其撤机后临床指标，确保其及时恢复，介绍如下。
1 對象与方法
1.1 研究对象
研究在该院ICU治疗且已撤机的患者中，方便选取出75例研究，20～85岁，中位值(59.2±15.13)岁；40例(53.33%)男性以及35例(46.67%)女性，均以费雪派克湿化器对其实施经鼻导管湿化高流量吸氧方案。
1.2 方法
1.2.1 湿化设备 该次研究所用湿化器为费雪派克湿化器，型号：MR810型。, http://www.100md.com(陆俊杰 戴吉 顾胤杰 吴海峰 葛志军)
[关键词] ICU病房；撤机后；费雪派克湿化器； 经鼻导管湿化高流量吸氧方案
[中图分类号] R459 [文献标识码] A [文章编号] 1674-0742(2017)09(b)-0082-03
[Abstract] Objective This paper tries to evaluate the clinical value of the nasal catheter wetting and high flow oxygen in the ICU patients after weaning. Methods 75 cases of ICU patients after weaning in this hospital from January 2014 to May 2017 were convenient selected as the research objects and were treated with fisher parker humidifier by nasal catheter wetting and high flow oxygen therapy， and then the breathing index， oxygenation index and carbon dioxide partial pressure index after 1 h， 8 h， 24 h treatment were observed， and the wetting condition of airway tissue， comfort degree， and the degree of tolerance were assessed. Results In the 75 patients， the breath index after 1h treatment was(20.38±1.14) times/min， and that of 8 h was (22.87±2.26)times/min， and that of 24 h was (22.68±1.69)times/min. At the same time， the degree of moisture in the patient’s airway tissue was(2.19±0.19)points， and the comfort level was (1.68±0.28)points， and the tolerance level was (1.19±0.17)points. Conclusion For the ICU patients who completed the weaning operation， the fischer parker humidifier was used to control the respiratory index， oxygenation index and carbon dioxide partial pressure index of the nasal catheter wetting and high flow oxygen regimen， and to ensure that the patient’s airway tissue wetting level， comfort and tolerance level， so it is worth promotion.
[Key words] ICU ward； After weaning； Fisher parker humidifier； Through the nasal catheter and the high discharge oxygen uptake scheme
当ICU患者接受有创机械通气方案且予以撤机后，通常需要持续实施吸氧治疗，且吸氧效果直接影响其恢复水平，所以要优化吸氧措施[1-2]。经鼻导管湿化高流量吸氧方案的推行，不仅能使患者氧合指数得到提高，而且还能提升其吸氧效果，而为了评价该吸氧方案的应用价值，通过方便抽取75例于2014年1月—2017年5月间在该院ICU治疗且已撤机的患者，期待可以改善其撤机后临床指标，确保其及时恢复，介绍如下。
1 對象与方法
1.1 研究对象
研究在该院ICU治疗且已撤机的患者中，方便选取出75例研究，20～85岁，中位值(59.2±15.13)岁；40例(53.33%)男性以及35例(46.67%)女性，均以费雪派克湿化器对其实施经鼻导管湿化高流量吸氧方案。
1.2 方法
1.2.1 湿化设备 该次研究所用湿化器为费雪派克湿化器，型号：MR810型。, http://www.100md.com(陆俊杰 戴吉 顾胤杰 吴海峰 葛志军)