川北医学院学报2018,Vol.33Issue(1):90-93,4.DOI:10.3969/j.issn.1005-3697.2018.01.027
经鼻高流量氧疗治疗婴儿社区获得性肺炎的疗效分析
Analysis on curative effect of high-flow nasal cannula for community-ac-quired pneumonia in infant
徐静 1蒋迎佳 1马涛 1熊复 2杨怡1
作者信息
- 1. 四川省妇女儿童医院,儿童重症医学科,四川 成都 610000
- 2. 四川省妇女儿童医院,儿科,四川 成都 610000
- 折叠
摘要
Abstract
Objective:To investigated the curative effects of high-flow nasal oxygen cannula (HFNC) compared with conven-tional oxygen therapy (COT) in subjects with community-acquired pneumonia(CAP)in infant.Methods:133 children with community acquired pneumonia treated with HFNC as HFNC treatment group,and 160 children with community-acquired pneumonia treated with ordinary oxygen therapy were selected as the general treatment group.The improvement of respiratory rate,heart rate and arterial oxygen pressure of 2 h before and after treatment in two groups was observed,and the gas temperature,humidity through the nose and tracheal intubation rate of the two groups of children were compared.Results:2 h after treatment,the respiratory rate,heart rate and arterial oxy-gen partial pressure in the HFNC group were obviously better than those in the ordinary oxygen therapy group,the difference was statis-tically significant (P<0.05 ).In group HFNC,the gas temperature and humidity through the nasal were 31.9~33 C,84% ~96%, the temperature of the common oxygen therapy group was 22~27.3,the humidity was 48% ~53%,and the rate of tracheal intubation in the HFNC group was 12.78%,which was significantly lower than that in the ordinary oxygen therapy group (P<0.05).Conclu-sions:Compared with conventional oxygen therapy,HFNC can effectively improve the respiratory rate,heart rate and arterial oxygen par-tial pressure of infants with community-acquired pneumonia in PICU,and the gas temperature and humidity through the nasal are more reasonable,and reduce the rate of tracheal intubation,so it should be the first choice for oxygen therapy.关键词
经鼻高流量氧疗/婴儿/社区获得性肺炎/疗效Key words
High-flow nasal oxygen cannula/Oxygen therapy/Community-acquired pneumonia分类
医药卫生引用本文复制引用
徐静,蒋迎佳,马涛,熊复,杨怡..经鼻高流量氧疗治疗婴儿社区获得性肺炎的疗效分析[J].川北医学院学报,2018,33(1):90-93,4.