Application effect of active heating humidification oxygen therapy technology in sequential oxygen therapy after tracheotomy and withdrawal in severe patients with brain diseases
LIANG Fuyuan WANG Weigui ZHONG Jian
Department of Critical Care Medicine,Shunde Hospital,Guangzhou University of Traditional Chinese Medicine,Guangdong Province,Foshan 528300,China
Abstract:Objective To analyze the application effect of active heating humidification oxygen therapy technology in sequential oxygen therapy for tracheotomy and withdrawal in severe patients with brain diseases.Methods A total of 80 patients with severe tracheotomy and ventilator assisted ventilation in the brain department who were to be withdrawn from Shunde Hospital,Guangzhou University of Chinese Medicine from January 2021 to October 2022 were selected as the study objects,and were divided into observation group and control group by random number table method,with 40 cases in each group.Patients in the observation group were treated with a high flow humidified oxygen therapy system,while patients in the control group were treated with a humid heat exchanger.The number of sputum blockage,degree of airway humidification,ICU stay time,heart rate(HR),respiratory rate(RR),arterial partial pressure of oxygen(PaO2),arterial partial pressure of carbon dioxide (PaCO2) and oxygenation index (OI) were compared between the two groups.Results The number of phlegm blockage after offline in the observation group was less than that in the control group,and the difference was statistically significant (P<0.05).The degree of airway humidification in the observation group was better than that in the control group,the difference was statistically significant (P<0.05).The duration of ICU stay in the observation group was shorter than that in the control group,and the difference was statistically significant (P<0.05).HR,RR and PaCO2 in observation group were lower than those in control group at 1,12,24,48 and 72 hours after offline sequential oxygen therapy,while PaO2 and OI were higher than those in control group,with statistical significance (P<0.05).Conclusion The active heating humidification oxygen therapy technology has a significant clinical effect in sequential oxygen therapy for patients undergoing gas resection after weaning,improving the success rate of weaning.After weaning,all clinical indicators of patients tend to be normal,and it has clinical application value.
梁富源; 王伟桂; 钟建. 主动加热湿化氧疗技术在脑科重症患者气管切开撤机序贯氧疗中的应用效果[J]. 中国当代医药, 2024, 31(11): 33-36.
LIANG Fuyuan WANG Weigui ZHONG Jian. Application effect of active heating humidification oxygen therapy technology in sequential oxygen therapy after tracheotomy and withdrawal in severe patients with brain diseases. 中国当代医药, 2024, 31(11): 33-36.