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Open Access Article

Contemporary Nursing. 2022; 3: (2) ; 84-87 ; DOI: 10.12208/j.cn.20220040.

Advantages of nasal cannula oxygen in the diagnosis and treatment of children's electronic bronchoscopy
鼻导管吸氧在儿童电子支气管镜诊疗活动中的优势

作者: 赵红丽 *, 赵琳, 马艳丽, 张玉婷, 赵宇

哈尔滨市儿童医院 黑龙江哈尔滨

*通讯作者: 赵红丽,单位:哈尔滨市儿童医院 黑龙江哈尔滨;

发布时间: 2022-04-28 总浏览量: 386

摘要

目的 通过对儿童电子支气管镜中应用鼻导管吸氧技术,评估鼻导管吸氧技术与面罩吸氧在儿童电子支气管镜诊疗活动中应用效果。方法 哈尔滨市儿童医院呼吸一科2013年06月开展儿童电子支气管镜诊疗工作,2013年06月至2018年09月共进行1188例儿童电子支气管镜诊疗,对照组患儿全部采用面罩吸氧,2018年10月至2021年05月共进行363例儿童电子支气管镜诊疗,观察组患儿全部采用鼻导管吸氧技术,对比诊疗结果。结果 观察组儿童电子支气管镜中应用鼻导管吸氧状态下,患儿全程血氧饱和度数据均在理想水平,受到临床医生认可及护士的好评。结论 鼻导管吸氧技术在儿童电子支气管镜诊疗活动中提高医疗护理质量与安全,观察组的并发症发生率低于对照组(P<0.05)。通过经皮血氧饱和度监测,动态评估患儿在电子支气管镜诊疗活动中的血氧饱和度数值,以反映鼻导管吸氧技术在儿童电子支气管镜诊疗活动中的可靠性。

关键词: 鼻导管吸氧;儿童;电子支气管镜;血氧饱和度

Abstract

Objective Through the application of nasal cannula oxygen inhalation technology in children's electronic bronchoscopy, to evaluate the application effect of nasal cannula oxygen inhalation technology and mask oxygen inhalation in children's electronic bronchoscopy diagnosis and treatment activities.
Methods The First Department of Respiratory Medicine of Harbin Children's Hospital carried out the diagnosis and treatment of children's electronic bronchoscopy in June 2013. From June 2013 to September 2018, a total of 1188 children underwent electronic bronchoscopy diagnosis and treatment. From October 2018 to May 2021, a total of 363 children underwent electronic bronchoscopy diagnosis and treatment. All children in the observation group were treated with nasal cannula oxygen inhalation technology, and the results of diagnosis and treatment were compared.
Results In the observation group, under the state of nasal cannula inhalation of oxygen in the electronic bronchoscopy of children, the blood oxygen saturation data of children in the whole process were all at the ideal level, which was recognized by clinicians and praised by nurses.
Conclusion   Nasal cannula oxygen inhalation technology can improve the quality and safety of medical care in children's electronic bronchoscopy diagnosis and treatment activities, and the incidence of complications in the observation group is lower than that in the control group (P<0.05). Through percutaneous blood oxygen saturation monitoring, the blood oxygen saturation value of children in electronic bronchoscopy diagnosis and treatment activities can be dynamically evaluated to reflect the reliability of nasal cannula oxygen inhalation technology in children electronic bronchoscopy diagnosis and treatment activities.

Key words: Nasal cannula oxygen; Children; Electronic bronchoscopy; Blood oxygen saturation

参考文献 References

[1] 谭维玉.鼻导管吸氧在儿童电子支气管镜诊疗术中的应用研究[J].微创医学,2018,13(2):252-253,182.

[2] 宁丽敏,李丽红,李晓春等.电子支气管镜在PICU中的临床应用探讨[C].//中华医学会第十三届全国儿科危重症大会论文集.2014:146-147.

[3] 宁丽敏,赵芳兴,李丽红等.电子支气管镜在PICU中的临床应用探讨[C].//中国医师协会第一次全国儿童重症医师大会论文集.2015:138-138.

[4] 张森雄,梁卓信.喉罩全麻下纤维支气管镜取儿童支气管异物的临床应用[J].中国内镜杂志,2016,22(2):104-106.

[5] 杨晓祥.电子纤维支气管镜诊治小儿气管支气管异物37例临床分析[J].广西医学,2016,38(3):416-418.

[6] 卢燕媚,欧敏.地佐辛联合改良喉罩在无痛纤支镜检查中的应用[J].微创医学,2016,11(6):902-903.

[7] 蔡冬春.纤维支气管镜在诊治儿童难治性肺炎肺不张中的作用和安全性分析[J].临床军医杂志,2015,43(3):279-281.

[8] 杨新利,崔立云,米青,等.加温湿化高流量鼻导管吸氧治疗儿童毛细支气管炎的临床研究[J].中国小儿急救医学,2017,24(6):430-433.

[9] 徐雅菡.加温湿化高流量鼻导管吸氧联合3%高渗盐水雾化对中重度毛细支气管炎患儿呼吸功能及氧合功能的影响[J].中国妇幼保健,2020,35(9):1673-1675.

[10] 方宇.热湿化高流量鼻导管吸氧治疗小儿毛细支气管炎[J]。包头医学院学报,2018,34(11):67-68.

[11] 段欣.分析鼻塞式持续气道正压通气辅助治疗重症毛细支气管炎临床观察[J].实用临床护理学电子杂志,2017,2(11):177.

[12] 薛俊美.加温湿化高流量鼻导管吸氧治疗儿童毛细支气管炎的效果评价[J].首都食品与医药,2020,27(9):42.

引用本文

赵红丽, 赵琳, 马艳丽, 张玉婷, 赵宇, 鼻导管吸氧在儿童电子支气管镜诊疗活动中的优势[J]. 当代护理, 2022; 3: (2) : 84-87.