摘要
目的 探讨集束化护理干预在急诊接受高流量呼吸机治疗的患者中的应用效果。方法 将本院急诊科2024年10月-2025年10月期间收治的68例需高流量呼吸机治疗的患者纳入研究，随机分为观察组（集束化护理干预）、对照组（常规护理）各34例，观察2组干预前后患者的血气指标、呼吸症状评分和高流量氧疗并发症情况。结果 干预7d后，观察组动脉血氧饱和度（SaO2）、血氧分压（PaO2）和血二氧化碳分压（PaCO2）指标均高于对照组，观察组Borg量表评分低于对照组，组间差异显著（P＜0.05）；观察组高流量氧疗并发症发生率少于对照组（P＜0.05）。结论 集束化护理干预应用于急诊高流量呼吸机治疗的患者中，可有效改善血气指标，缓解呼吸症状，降低高流量氧疗并发症发生率，值得应用推广。
关键词： 集束化护理干预；急诊；高流量呼吸机；呼吸衰竭
Abstract
Objective To explore the application effect of clustered nursing intervention in patients receiving high-flow ventilator therapy in the emergency department. Methods A total of 68 patients who were admitted to the emergency department of our hospital from October 2024 to October 2025 and required high-flow ventilator treatment were included in the study. They were randomly divided into the observation group (clustered nursing intervention) and the control group (conventional nursing), with 34 cases in each group. The blood gas indicators, respiratory symptom scores, and complications of high-flow oxygen therapy of the two groups before and after the intervention were observed. Results After 7 days of intervention, the arterial blood oxygen saturation (SaO2), blood oxygen partial pressure (PaO2), and blood carbon dioxide partial pressure (PaCO2) indicators in the observation group were higher than those in the control group, and the Borg scale score of the observation group was lower than that of the control group. The differences between the groups were significant (P<0.05); the incidence of high-flow oxygen therapy complications in the observation group was less than that in the control group (P<0.05). Conclusion Clustered nursing intervention applied in patients receiving high-flow ventilator therapy in the emergency department can effectively improve blood gas indicators, relieve respiratory symptoms, and reduce the incidence of high-flow oxygen therapy complications, and is worthy of application and promotion.
Key words： Clustered nursing intervention; Emergency; High-flow ventilator; Respiratory failure
参考文献 References
[1] 王小琴,邱晓云.高流量氧疗结合集束化干预对老年AECOPD并发1型呼吸衰竭患者的治疗效果[J].中国实用乡村医生杂志,2026,33(02):17-20.
[2] 张帼,陈春兰. 高流量呼吸湿化治疗仪与呼吸机-高流量一体机在急诊危重患者中临床应用效果观察[J]. 中国医疗器械信息,2024,30(10):24-26.
[3] 李文川,励明慧,高波.集束化护理联合加温加湿高流量吸氧在细菌性肺炎患者中的应用[J].继续医学教育, 2025, 39(04):181-184.
[4] 于秀勤,赵杨,时春焱.集束化护理对急诊重症监护室机械通气患者呼吸机相关性肺炎预防效果[J].中国医药导报,2022,19(27):162-165.
[5] 王寅,刘海恋,王晓静,等. 基于循证理念的标准化护理模式在急诊老年肺炎患者高流量湿化氧疗中的应用效果[J]. 川北医学院学报,2025,40(1):127-131.
[6] 谢圳杭.高流量氧疗在高血压脑出血术后患者集束化气道管理中的应用效果观察[J].中国实用医药, 2023, 18(06):161-163.
[7] 陈六姣,何娜.早期集束化介入管理对急诊ICU严重创伤患者救治效果及并发症发生情况的影响[J]. 临床医学研究与实践,2025,10(10):166-169.
[8] 朱丽吉,彭俊,余洁. 集束化护理干预对急诊重症监护室机械通气患者呼吸机相关性肺炎的预防效果研究[J]. 中外医疗,2024,43(20):181-184.