[1]谢圳杭,杨雪莲,李萌,等.高流量氧疗在重型颅脑损伤术后气管切开病人中的应用[J].中国临床神经外科杂志,2024,29(08):483-486.[doi:10.13798/j.issn.1009-153X.2024.08.009]
　XIE Zhen-hang,YANG Xue-lian,LI Meng,et al.Application of high-flow oxygen therapy in patients with severe traumatic brain injury underwent tracheotomy after decompressive craniectomy[J].,2024,29(08):483-486.[doi:10.13798/j.issn.1009-153X.2024.08.009]
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高流量氧疗在重型颅脑损伤术后气管切开病人中的应用()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年08期
页码:
483-486
栏目:
护理技术
出版日期:
2024-08-30

文章信息/Info

Title:
Application of high-flow oxygen therapy in patients with severe traumatic brain injury underwent tracheotomy after decompressive craniectomy
文章编号:
1009-153X（2024）08-0483-04
作者:
谢圳杭; 杨雪莲; 李萌; 徐柳荣
4000050重庆，重庆医科大学附属第一医院护理部（谢圳杭、杨雪莲、李萌、徐柳荣）
Author(s):
XIE Zhen-hang;  YANG Xue-lian;  LI Meng;  XU Liu-rong
Department of Nursing, First Affiliated Hospital of Chongqing Medical University, Chongiqng 400050, China
关键词:
重型颅脑损伤; 显微手术; 高流量氧疗; 气管切开术; 疗效
Keywords:
Severe traumatic brain injury;  Decompressive craniectomy;  High-flow oxygen therapy;  Tracheotomy;  Efficacy
分类号:
R 651.1+5; R 473.6
DOI:
10.13798/j.issn.1009-153X.2024.08.009
文献标志码:
A
摘要:
目的 探讨高流量氧疗在重型颅脑损伤去骨瓣减压术后行气管切开病人中的应用效果。方法 回顾性分析2020年11月至2021年8月收治的80例重型颅脑损伤气管切开病人的临床资料。40例采用气管切开面罩行普通氧疗（对照组），40例采用经气管切开高流量氧疗设备进行氧疗（观察组）。分析两组氧疗后8 h、16 h、48 h血氧饱和度、氧分压、二氧化碳分压、氧合指数、呼吸频率、痰液黏稠度。结果 与对照组相比，观察组氧疗后8 h、16 h、48 h氧分压、氧合指数、呼吸频率、痰液黏稠度均明显优于对照组（P<0.05）。两组二氧化碳分压无统计学意义（P>0.05）。结论 重型颅脑损伤术后行气管切开的病人，与面罩普通氧疗比较，经气管切开高流量氧疗可以显著改善病人的氧合效果，降低痰液黏稠度。
Abstract:
Objective To explore the application effect of high-flow oxygen therapy in patients with severe traumatic brain injury (sTBI) who underwent tracheotomy after decompressive craniectomy. Methods The clinical data of 80 patients with sTBI who underwent tracheotomy after decompressive craniectomy admitted from November 2020 to August 2021 were retrospectively analyzed. Among them, 40 patients received conventional oxygen therapy with a tracheotomy mask (control group), and 40 patients received oxygen therapy with a high-flow oxygen therapy device via tracheotomy (observation group). The blood oxygen saturation, partial pressure of oxygen, partial pressure of carbon dioxide, oxygenation index, respiratory rate, and sputum viscosity were analyzed at 8 h, 16 h, and 48 h after oxygen therapy in both groups. Results Compared with the control group, the partial pressure of oxygen, oxygenation index, respiratory rate, and sputum viscosity in the observation group were significantly better at 8 h, 16 h, and 48 h after oxygen therapy (P<0.05). There was no statistically significant difference in the partial pressure of carbon dioxide between the two groups (P>0.05). Conclusion For patients with sTBI who underwent tracheotomy after decompressive craniectomy, high-flow oxygen therapy via tracheotomy can significantly improve the oxygenation effect and reduce the viscosity of sputum compared with conventional oxygen therapy with a mask.

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备注/Memo

备注/Memo:
（2022-07-10收稿，2024-01-12修回）
基金项目：重庆市科卫联合医学项目2020FYYX100
更新日期/Last Update: 2024-08-30