高流量鼻管氧气治疗对食道切除术后患者的低氧症的影响
Yumei Shen1, Yi Xu2, Fanglan Xu2
1Department of Operating Room, The Second Affiliated Hospital of Soochow University, Suzhou 215004, China.
Canadian respiratory journal
|February 28, 2025
概括
高流量鼻腔管 (HFNC) 治疗改善了氧化,并减少了食道癌患者手术后的感染. 在预防术后肺炎方面,HFNC优于传统的氧气疗法 (COT).
科学领域:
- 心胸外科手术 心胸外科手术
- 呼吸系统医学 呼吸系统医学
- 在瘤学瘤学.
背景情况:
- 接受食道切除术的食道癌 (EC) 患者面临低氧化和术后并发症的风险.
- 评估高流量鼻腔管 (HFNC) 治疗与常规氧气治疗 (COT) 相比,对于优化术后护理至关重要.
研究的目的:
- 为了比较HFNC与COT在治疗食道切除术后的低氧症的临床疗效.
- 评估对动脉血液气体参数,感染指数和肺部并发症的影响.
主要方法:
- 在食道切除术后 (2020年1月-2022年12月) 对80名低血症患者的回顾性分析.
- 患者被分为HFNC和COT组.
- 评估血液气体的变化,感染标志物 (CRP,中性粒细胞) 和肺部并发症.
主要成果:
- HFNC组的氧化指数和二氧化碳的部分压力显著改善 (p < 0.001).
- 3天后,HFNC导致C-反应蛋白 (p < 0.001) 和中性粒细胞数量 (p = 0.039) 的减少更大.
- HFNC治疗与手术后并发症风险降低有关,特别是肺炎 (p=0.039).
结论:
- HFNC疗法在改善氧化和减少感染标志物方面比COT更有效,在缺血性EC患者的食道切除术后.
- 在这种患者群体中,HFNC治疗显著降低了手术后肺炎的发生率.
相关概念视频
Administering Oxygen by Nasal Cannula
314
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
314
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
159
Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
159
Oxygen Delivering System I: Nasal Cannula and Face Mask
209
The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
209
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
257
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
257
Administering Oxygen by Mask
198
Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
198
Suctioning the Nasopharyngeal Airway
237
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
237


