不同给氧方法在脑肿瘤术后气管切开患者氧疗中的应用

李杰

李杰. 不同给氧方法在脑肿瘤术后气管切开患者氧疗中的应用[J]. 实用临床医药杂志, 2017, (2): 50-52. DOI: 10.7619/jcmp.201702016
引用本文: 李杰. 不同给氧方法在脑肿瘤术后气管切开患者氧疗中的应用[J]. 实用临床医药杂志, 2017, (2): 50-52. DOI: 10.7619/jcmp.201702016
LI Jie. Comparison of different oxygen supply methods in oxygen therapy for patients with tracheotomy after brain tumor operation[J]. Journal of Clinical Medicine in Practice, 2017, (2): 50-52. DOI: 10.7619/jcmp.201702016
Citation: LI Jie. Comparison of different oxygen supply methods in oxygen therapy for patients with tracheotomy after brain tumor operation[J]. Journal of Clinical Medicine in Practice, 2017, (2): 50-52. DOI: 10.7619/jcmp.201702016

不同给氧方法在脑肿瘤术后气管切开患者氧疗中的应用

基金项目: 黑龙江省应用技术研究与开发计划项目。
详细信息
  • 中图分类号: R473.73

Comparison of different oxygen supply methods in oxygen therapy for patients with tracheotomy after brain tumor operation

  • 摘要: 目的 探讨脑肿瘤术后气管切开患者氧疗中实施不同给氧方法的效果.方法 选取脑肿瘤术后气管切开患者60例,按照随机数字法分为鼻导管组、人工鼻组、面罩组各20例,分别实施鼻导管吸氧、人工鼻吸氧及面罩法吸氧.观察3组患者氧疗前、氧疗1h、氧疗24 h时的血氧饱和度、痰液黏稠度(Ⅲ度)以及并发症(肺部感染与切口感染)发生情况并进行统计学分析.结果 3组患者在吸氧1h、吸氧24 h时的血氧饱和度均比吸氧前有显著提高(P<0.05),但面罩组提高幅度显著更高(P<0.05);鼻导管组与面罩组吸氧1h、吸氧24 h时的痰液黏稠(Ⅲ度)率相比吸氧前显著下降(P<0.05),优于人工鼻组(P<0.05);面罩组与人工鼻组的肺部感染与切口处感染发生率差异无统计学意义(P>0.05),均显著低于鼻导管组(P<0.05).结论 面罩吸氧应用在脑肿瘤术后气管切开患者中有良好效果,不仅可快速平稳改善血氧饱和度,而且能降低痰液黏稠度以及肺部感染与切口感染的发生率,值得借鉴.
    Abstract: Objective To investigate the effect of different oxygen supply methods in the treatment of patients with tracheal incision after brain tumor surgery.Methods A total of 60 tracheotomy patients with brain tumor in our hospital were divided into nasal catheter group,artificial nose group,mask group,with 20 cases in each group,given therapy of nasal catheter oxygen,artificial nose oxygen and mask oxygen inhalation,respectively.Blood oxygen saturation,sputum viscosity (Ⅲ),and complications (pulmonary infection and incision infection) before oxygen and at 1,24 h of oxygen therapy were analyzed.Results Blood oxygen saturation was significantly increased at 1,24 h of oxygen therapy compared with inhalation before (P < 0.05),but the mask group increased more than the other two groups (P < 0.05).Sputum viscosity (Ⅲ) rate in nasal catheter group and mask oxygen inhalation group at 1,24 h of oxygen was significantly decreased compared with inhalation before (P < 0.05),and was better than the artificial nose group (P < 0.05).There was no significant difference in lung infection and incision infection in mask group and artificial nose group (P > 0.05),but were significantly lower than nasal catheter group (P < 0.05).Conclusion Oxygen mask used in brain tumor surgery patients with tracheotomy not only can quickly and steadily improve blood oxygen saturation,reduce sputum viscosity,pulmonary infection and incidence of wound infection,so it is worthy of promotion.
  • 期刊类型引用(13)

    1. 陈立喜,陈元良,卓泽铭,王和杰. 万古霉素联合骨搬移术治疗MRSA感染胫骨创伤性骨髓炎的效果及对血清TLR4、TNF-α和PCT水平的影响. 中国医院用药评价与分析. 2024(05): 545-548 . 百度学术
    2. 吴康洋. 耐甲氧西林金黄色葡萄球菌54株耐药情况分析. 中国乡村医药. 2023(02): 31-32 . 百度学术
    3. 赵杰,朱萍,苌俊明,别静洋,李德亮,王海云,杨柳. 凝固酶阴性葡萄球菌致新生儿败血症病原学及青霉素联合万古霉素治疗效果分析. 新乡医学院学报. 2022(07): 673-679 . 百度学术
    4. 吉璐珊,翟继开,翟思瑞. 鞘内注射万古霉素治疗脑出血患者术后颅内感染的临床价值研究. 社区医学杂志. 2022(09): 491-494+504 . 百度学术
    5. 陈桂兰,游金兵,张雷,汤琼瑶,陈作武. 万古霉素治疗新生儿败血症的血药浓度监测与疗效. 中华医院感染学杂志. 2022(07): 1086-1090 . 百度学术
    6. 黄少隆,张翠惠,黄冬枚,郭文婷,郑庆茹,周湧. 山豆根对金黄色葡萄球菌毒力表达的影响. 检验医学与临床. 2022(20): 2803-2807 . 百度学术
    7. 郭晓松,芮丽娜,欧阳爱军. 某三甲医院2019年万古霉素使用调查分析. 药品评价. 2022(18): 1127-1130 . 百度学术
    8. 王佳,孟现民. 浅析2014~2019年我国主要致病菌“ESKAPE”的耐药性变迁. 中国药师. 2021(01): 99-104 . 百度学术
    9. 武杰,赵建平. MRSA的检测、耐药、流行及抗菌药物选择的研究进展. 中国抗生素杂志. 2021(09): 837-844 . 百度学术
    10. 陈江一,刘阔. 临床微生物检验在医院感染检测中的应用. 黑龙江医药科学. 2020(01): 153-154 . 百度学术
    11. 段心雨,韦红. 万古霉素在新生儿感染性疾病应用中的研究进展. 中国当代医药. 2020(15): 44-47 . 百度学术
    12. 龚卫卫,曹季平. 不同剂量万古霉素对MRSA感染患者细菌清除的影响以及血药浓度的相关性分析. 抗感染药学. 2020(08): 1107-1111 . 百度学术
    13. 时文艳. 万古霉素敏感性下降金黄色葡萄球菌的研究进展. 中国新通信. 2019(23): 244 . 百度学术

    其他类型引用(4)

计量
  • 文章访问数:  267
  • HTML全文浏览量:  47
  • PDF下载量:  4
  • 被引次数: 17
出版历程

目录

    /

    返回文章
    返回