中国康复2025，Vol.40Issue(9)：530-534,5.DOI:10.3870/zgkf.2025.09.004
高流量氧疗联合俯卧位通气在脑卒中后气管切开非机械通气患者拔管中的应用
Application of high-flow oxygen therapy combined with prone position ventilation strategy in extubation of stroke pa-tients with tracheotomy and non-mechanical ventilation
摘要
Abstract
Objective:To observe the clinical efficacy of high-flow oxygen therapy combined with prone position ventilation strategy in extubation of tracheotomized non-mechanical ventilation patients after stroke.Methods:52 patients with post-stroke tracheotomy non-mechanical ventilation were randomly divided into 18 cases in the observa-tion group,17 cases in the control A group,and 17 cases in the control B group.The extubation strategy of the ob-servation group was high-flow oxygen therapy+prone position ventilation,that of the control A group was conven-tional oxygen therapy+prone position ventilation,and that of the control B group was high-flow oxygen therapy+conventional postural management.The median time of extubation,average daily sputum volume and sputum char-acter before extubation,clinical lung infection score before and after extubation,pulmonary function and swallowing function before and after extubation were recorded in the three groups,respectively.Results:The median time to extubation in the observation group was 9 d,which was significantly shorter than that in control group A and con-trol group B(P＜0.05);the success rate of extubation in the observation group and control group A was higher than that in control group B(P＜0.05);the clinical lung infection scores of the patients in the three groups after ex-tubation were lower than that before extubation(P＜0.05),and in the observation group,they were lower than that in control group A and control group B(P＜0.05);the average daily sputum volume and character of sputum discharge before extubation were higher than that of control group A and control group B(P＜0.05);and the mean daily sputum volume and character of sputum discharge before extubation were higher than that of control group A and control group B.The average daily sputum volume before extubation was higher than that of control group A and control group B(P＜0.05),and after extubation,the sputum character grading,pulmonary function score and Saeto's dysphagia grade of the observation group were significantly higher than that of control group A and control group B(P＜0.05).Conclusion:High-flow oxygen therapy combined with prone ventilation strategy can shorten the extubation time and improve sputum properties,swallowing function and lung function in stroke patients.关键词
气管切开/高流量湿化/俯卧位通气/拔管Key words
tracheotomy/high-flow oxygen therapy/prone position ventilation/extubation分类
医药卫生引用本文复制引用
于利国,王博,马艳,刘金明,李艳芳,孙瑞..高流量氧疗联合俯卧位通气在脑卒中后气管切开非机械通气患者拔管中的应用[J].中国康复,2025,40(9):530-534,5.基金项目
武汉市卫健委医学科研项目(WX21Q19) （WX21Q19）
