Effect of pernasal high-flow nasal catheter wet oxygen therapy on treating middle-aged and elderly patients with severe refractory pneumonia complicated with respiratory failure
10.7619/jcmp.201801004
- VernacularTitle:经鼻高流量鼻导管湿化氧疗治疗中老年重症顽固性肺炎合并呼吸衰竭的疗效
- Author:
Xiaosan CHENG
1
;
Dinghong YU
Author Information
1. 湖南省岳阳市一人民医院
- Keywords:
nasal high-flow nasal catheter wet oxygen therapy;
severe refractory pneumonia;
respiratory failure;
quality of life
- From:
Journal of Clinical Medicine in Practice
2018;22(1):10-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of pernasal high-flow nasal catheter wet oxygen therapy for middle-aged and elderly patients with severe refractory pneumonia complicated with respiratory failure and its effect on quality of life.Methods A total of 100 elderly patients with severe refractory pneumonia complicated with respiratory failure were enrolled in our hospital,and were divided into control group and study group according to the random number table method,with 50 cases in each group.The patients in the control group received pernasal continuous positive pressure ventilation therapy,and the patients in the study group received nasal high-flow nasal catheter wet oxygen therapy.The disappearance time of clinical symptoms,hospitalization time,treatment effect and survival quality were compared between the two groups after treatment.Results The study group had lower disappearance time in cyanosis,lung rales,shortness of breath,three incarads and hospital stay than the control group (P ＜ 0.05).The total effective rate was higher than that of the control group (92.0％ vs.74.0％,P ＜ 0.05).After the treatment,the social,environmental,psychological and physiological scores of the study group were higher than that of the control group,and the differences were statistically significant (P ＜ 0.05).Conclusion Pernasal high-flow nasal catheter wet oxygen therapy in the treatment of severe refractory pneumonia patients with respiratory failure has significant efficacy,and it can effectively relieve clinical symptoms and signs,and improve patients'quality of survival.
