呼吸湿化治疗仪在慢性阻塞性肺疾病急性加重期患者中的应用
摘要
目的:探讨呼吸湿化治疗仪在慢性阻塞性肺疾病急性加重期(AECOPD)患者中的应用效果。方法:将107例AECOPD患者随机分为观察组52例和对照组55例,观察组使用呼吸湿化治疗仪,对照组未使用呼吸湿化治疗仪,比较两组的治疗效果。结果:干预后,观察组周围血氧饱和度、吸痰次数、痰液黏稠度、患者舒适度明显优于对照组(P <0. 01),患者对治疗满意度高于对照组(P <0. 01)。结论:呼吸湿化治疗仪应用于AECOPD患者中,可有效地湿化痰液,清洁呼吸道,改善患者通气功能,从而改善患者呼吸困难的情况,值得临床推广。
引文
[1] Vogelmeier CF,Criner GJ,Martinez FJ. Global strategy for the diagnosis,management and prevention of chronic obstructive lung disease 2017 report:GOLD executive summary[J]. Respirology,2017,22(3):575 601.
[2] Lima FV,Yen TY,Patel JK. Trends in inhospital outcomes among adults hospitalized with exacerbation of chronic obstructive pulmonary disease[J]. COPD,2015,12(6):636-642.
[3]中华医学会呼吸病分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2007年修订版)[J].中华结核和呼吸杂志,2007,30(1):8.(集体作者)
[4] Lee JH,Rehder KJ,Williford L,et al. Use of high flow nasal cannula critically ill infants,children,and adults:a critical review of the literature[J]. Intensive Care Med,2013,39(2):247-257.
[5] Frat JP,Thille AW,Mercat A,et al. High-flow oxygen through nasal cannuta in acute hypoxemic respiratory failure[J]. N Engl J Med,2015,372(23):2185-219.
[6] Okuda M,Kashio M,Tanaka N,et al. Nasal high-flow oxygen therapy system for improving sleep-related hypoventilation in chronic obstructive pulmonary disease:a case report[J]. J Med Case Rep,2014,8:341.
[7] Stéphan F,Barrucand B,Petit P,et al. High-flow nasal oxygen vs noninvasive positive airway pressure in hypoxemic patients after cardiothoracic surgery. A randomized clinical trial[J]. JAMA,2015,313:2331-9.
[8]中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013年修订版)(一)[J].全科医学临床与教育,2013,11(5):484-491.(集体作者)
[9]刘新茹,安立红,贾红光. COPD合并Ⅱ型呼衰应用无创通气患者依从性的原因和对策[J].临床肺科杂志,2012,17(7):1319-1320.
[10]刘婵娟,粟顺美,张惠英,等.老年重症肺炎使用湿化呼吸治疗仪的护理体会[J].按摩与康复医学,2016,7(21):48-50.
[11]黄燕洁,徐晔.费雪派克湿化器联合文丘里在气管切开患者脱机期间的应用[J].基层医学论坛,2013,17(34):4642-4643.
[12]叶曜衢,曾燕转,苏月南,等. AIRVO 2无创呼吸湿化治疗仪与Trilogy100无创呼吸机在治疗慢性阻塞性肺疾病合并呼吸衰竭患者中的疗效对比研究[J].岭南急诊医学杂志,2016,21(6):615-616.
[13]魏文举,张强,那海顺.经鼻高流量氧疗在成人患者中的应用进展[J].中华护理杂志,2016,51(7):853-857.
[14] Parke R,McGuinness S,Eccleston M. Nasal high flow oxygen delivers low level positive airway pressure[J]. Br J Anaesth,2009,103(6):886-890.
[15] Corley A,Caruana LR,Bamett AG,et al. Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients[J]. Bri J Anaesth,2011,107(6):998-1004.
[16] Fraser JF,Spooner AJ,Dunster KR,et al. Nasal high flow oxygen therapy in patients with COPD reduces respiratory rate and tissue carbon dioxide while increasing tidal and end-expiratory lung volumes:a randomised crossover trial[J]. Thorax,2016,71:759-61.
[2] Lima FV,Yen TY,Patel JK. Trends in inhospital outcomes among adults hospitalized with exacerbation of chronic obstructive pulmonary disease[J]. COPD,2015,12(6):636-642.
[3]中华医学会呼吸病分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2007年修订版)[J].中华结核和呼吸杂志,2007,30(1):8.(集体作者)
[4] Lee JH,Rehder KJ,Williford L,et al. Use of high flow nasal cannula critically ill infants,children,and adults:a critical review of the literature[J]. Intensive Care Med,2013,39(2):247-257.
[5] Frat JP,Thille AW,Mercat A,et al. High-flow oxygen through nasal cannuta in acute hypoxemic respiratory failure[J]. N Engl J Med,2015,372(23):2185-219.
[6] Okuda M,Kashio M,Tanaka N,et al. Nasal high-flow oxygen therapy system for improving sleep-related hypoventilation in chronic obstructive pulmonary disease:a case report[J]. J Med Case Rep,2014,8:341.
[7] Stéphan F,Barrucand B,Petit P,et al. High-flow nasal oxygen vs noninvasive positive airway pressure in hypoxemic patients after cardiothoracic surgery. A randomized clinical trial[J]. JAMA,2015,313:2331-9.
[8]中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013年修订版)(一)[J].全科医学临床与教育,2013,11(5):484-491.(集体作者)
[9]刘新茹,安立红,贾红光. COPD合并Ⅱ型呼衰应用无创通气患者依从性的原因和对策[J].临床肺科杂志,2012,17(7):1319-1320.
[10]刘婵娟,粟顺美,张惠英,等.老年重症肺炎使用湿化呼吸治疗仪的护理体会[J].按摩与康复医学,2016,7(21):48-50.
[11]黄燕洁,徐晔.费雪派克湿化器联合文丘里在气管切开患者脱机期间的应用[J].基层医学论坛,2013,17(34):4642-4643.
[12]叶曜衢,曾燕转,苏月南,等. AIRVO 2无创呼吸湿化治疗仪与Trilogy100无创呼吸机在治疗慢性阻塞性肺疾病合并呼吸衰竭患者中的疗效对比研究[J].岭南急诊医学杂志,2016,21(6):615-616.
[13]魏文举,张强,那海顺.经鼻高流量氧疗在成人患者中的应用进展[J].中华护理杂志,2016,51(7):853-857.
[14] Parke R,McGuinness S,Eccleston M. Nasal high flow oxygen delivers low level positive airway pressure[J]. Br J Anaesth,2009,103(6):886-890.
[15] Corley A,Caruana LR,Bamett AG,et al. Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients[J]. Bri J Anaesth,2011,107(6):998-1004.
[16] Fraser JF,Spooner AJ,Dunster KR,et al. Nasal high flow oxygen therapy in patients with COPD reduces respiratory rate and tissue carbon dioxide while increasing tidal and end-expiratory lung volumes:a randomised crossover trial[J]. Thorax,2016,71:759-61.