经鼻高流量湿化氧疗对急性心力衰竭肺水肿的治疗效果

摘要/Abstract

摘要： 目的通过比较普通湿化瓶吸氧和经鼻高流量湿化氧疗两种不同氧疗方式的急性心力衰竭肺水肿患者肺超声B线积分的变化,评价经鼻高流量湿化氧疗对心力衰竭肺水肿的治疗效果。方法选取2020年1月至2022年6月我院住院治疗的50例急性心力衰竭肺水肿需要吸氧治疗的患者作为研究对象,根据病情评估给与不同方式氧疗,给与经鼻高流量湿化氧疗的患者为治疗组,给与普通湿化瓶氧疗的患者为对照组,每组25例,对比两组患者在治疗前、治疗6 h、12 h、24 h、48 h、72 h的肺超声B线积分的变化情况。结果将不同组别不同时间点测量的肺超声B线积分数据按照重复测量方差分析方法进行分析,数据不符合球形检验（P<0.05）,多变量检验和主体内效应检验两种检验方法均得出一致结果,不同时间节点测量的肺超声B线积分数据比较,差异有统计学意义（P<0.05）;不同组别的肺超声B线积分数据比较,差异有统计学意义（P<0.05）,估算边际平均值轮廓图显示经鼻高流量湿化氧疗组患者肺超声B线积分下降较普通湿化瓶吸氧组明显。结论经鼻高流量湿化氧疗在心力衰竭肺水肿患者治疗中有明显疗效。

关键词: 急性心力衰竭, 肺水肿, 经鼻高流量湿化氧疗, 肺超声B线

于佳雪, 陈利华, 蓝淦秋. 经鼻高流量湿化氧疗对急性心力衰竭肺水肿的治疗效果[J]. 心血管病防治知识, 2022, 12(33): 24-27.

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