个性化氧疗治疗呼吸重症监护室老年患者气促与缺氧的疗效

发布时间：2018-01-15 14:20

本文关键词：个性化氧疗治疗呼吸重症监护室老年患者气促与缺氧的疗效　出处：《中国老年学杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的探讨个性化氧疗对呼吸重症监护室老年患者气促与缺氧的治疗效果。方法呼吸重症监护室老年患者164例随机数字表法分为观察组和对照组各82例,对照组实施常规治疗,观察组实施个性化氧疗,比较两组气促与缺氧的改善情况。结果治疗后,两组动脉血氧分压、氧合指数、血氧饱和度较治疗前显著增加(P0.05);两组动脉血二氧化碳分压、呼吸频率、心率、气促症状评分、中心静脉压较治疗前显著降低(P0.05);观察组动脉血氧分压、氧合指数、血氧饱和度显著高于对照组(P0.05);观察组动脉血二氧化碳分压、呼吸频率、心率、气促症状评分、中心静脉压、不良事件发生率显著低于对照组(P0.05);观察组气促改善时间、缺氧改善时间显著早于对照组(P0.05)。结论个性化氧疗可改善呼吸重症监护室老年患者的气促与缺氧状况,效果显著且安全性高。
[Abstract]:Objective to investigate the effect of individualized oxygen therapy on respiratory hypertrophy and hypoxia in elderly patients in respiratory intensive care unit. Methods 164 elderly patients in respiratory intensive care unit were randomly divided into two groups: observation group (n = 82) and control group (n = 82). The control group was treated with routine therapy, the observation group was treated with individualized oxygen therapy, and the improvement of shortness of breath and anoxia were compared between the two groups. Results after treatment, the partial pressure of oxygen in arterial blood and oxygenation index in the two groups were compared. The blood oxygen saturation was significantly higher than that before treatment (P 0.05). The arterial blood carbon dioxide partial pressure, respiratory rate, heart rate, symptom score of shortness of breath and central venous pressure were significantly lower than those before treatment (P 0.05). The arterial oxygen partial pressure, oxygenation index and blood oxygen saturation in the observation group were significantly higher than those in the control group (P 0.05). The incidence of adverse events in observation group was significantly lower than that in control group (P 0.05), such as partial pressure of arterial blood carbon dioxide, respiratory rate, heart rate, score of symptoms of shortness of breath, central venous pressure and incidence of adverse events. The improvement time of shortness of breath and hypoxia in the observation group was significantly earlier than that in the control group (P0.050.Conclusion Personalized oxygen therapy can improve the condition of shortness of breath and anoxia in the elderly patients in the respiratory intensive care unit. The effect is remarkable and the safety is high.
【作者单位】：海口市120急救中心;
【分类号】：R459.7
【正文快照】： 气促与缺氧是呼吸重症监护室患者的常见病症,具有较高发生率〔1,2〕,可显著降低机体的呼吸功能,影响患者功能恢复。老年患者的身体功能状况较差,气促与缺氧的发生风险更高,如果不能给予及时有效的对症处理,有可能病情恶化,引发严重的下呼吸道感染、急性左心衰竭等,影响预后〔3

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