大理大学学报 ›› 2020, Vol. 5 ›› Issue (2): 93-96.DOI: 10. 3969 / j. issn. 2096-2266. 2020. 02. 021

• 临床医学 • 上一篇    下一篇

大理地区两家三甲医院非湿化中低流量鼻导管吸氧#br# 应用效果分析

董 薇1 ,付艳芬 2 ,张纯琼 1 ,董玉川 1 ,金竹炫 1 ,刘亮平 1 ,蒋杨萍 3*   

  1. (1.大理大学第一附属医院护理部,云南大理 671000;2.大理大学护理学院,云南大理 671000;
    3. 大理白族自治州人民医院神经外科,云南大理 671000)
  • 收稿日期:2019-01-29 修回日期:2019-06-09 出版日期:2020-02-15 发布日期:2020-02-15
  • 通讯作者: 蒋杨萍,主管护师,E-mail:13887215633@qq.com。
  • 作者简介:董薇,主管护师,主要从事临床护理和护理管理研究。
  • 基金资助:
    复旦大学循证护理中心证据转化与临床应用资助项目(Fudanebn201822)

Analysis on the Effect of Oxygen Inhalation by Non-Humidified Medium and Low Flow Nasal Catheter#br# in Two Third-Grade Class-A Hospitals of Dali

Dong Wei 1 , Fu Yanfen 2 , Zhang Chunqiong 1 , Dong Yuchuan 1 , Jin Zhuxuan 1 , Liu Liangping 1 , Jiang Yangping 3*   

  1. (1.Department of Nursing, The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China; 2. College of Nursing,
    Dali University, Dali, Yunnan 671000, China; 3. Department of Neurosurgery, Dali Bai Autonomous Prefecture People′s
    Hospital, Dali, Yunnan 671000, China)
  • Received:2019-01-29 Revised:2019-06-09 Online:2020-02-15 Published:2020-02-15

摘要: 目的:探讨湿化与非湿化中低流量(<4 L/min)鼻导管吸氧对氧疗效果、患者舒适度及成本的影响。方法:选取2018年
7—11月大理地区两家三甲医院中低流量吸氧患者1 660例,随机分为观察组和对照组,观察组采用非湿化吸氧,对照组采用
湿化吸氧,比较两组患者实施氧疗过程中的差异。结果:经检验,两种给氧方式对患者鼻黏膜出血情况、鼻黏膜干燥情况和血
氧饱和度值差异均无统计学意义(P>0.05);对患者睡眠的影响,差异有统计学意义(P<0.001);同时非湿化吸氧,降低了人力
物力成本,提高了患者夜间睡眠质量。结论:成人中低流量鼻导管吸氧无须进行湿化处理。

关键词: 成人, 中低流量, 鼻导管吸氧, 非湿化, 湿化

Abstract: Objective: To investigate the effects of oxygen inhalation by nasal catheter with medium and low flow(<4 L/min)in
routine humidification and non-humidification on the efficacy, comfort and cost of oxygen therapy. Methods: A total of 1 660 adult
inpatients were included with medium and low flow oxygen inhalation from July to November 2018 in two third-grade class-A hospitals
in Dali. They were randomly divided into the observation group and the control group. Non-humidification oxygen was used in the
observation group and humidification oxygen was used in the control group. The differences of oxygen therapy between the two groups
were compared. Results: After testing, there was no significant difference in the nasal mucosal hemorrhage, nasal mucosa dryness and
blood oxygen saturation between the two oxygenation methods(P>0.05); the difference in the impact on the patient′s sleep was
statistically significant(P<0.001). At the same time, non-humidified oxygen absorption reduced the cost of human and material
resources and improved the quality of patient′s sleep at night. Conclusion: Adult nasal catheter oxygen inhalation with medium and
low flow does not need to be humidified.

Key words: adult, medium and low flow, nasal catheter oxygen inhalation, non-humidification, humidification