Application of repeated respiratory mask with carbon dioxide concentration monitoring function in hyperventilation syndrome
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摘要: 目的 观察具有CO2浓度监测功能的重复呼吸面罩在过度通气综合征(hyperventilation syndrome,HVS)患者中的应用效果,为临床抢救HVS患者提供参考。 方法 选取2017年12月—2018年12月嘉兴市第二医院急诊科收治的60例HVS患者作为研究对象,按照随机数字表法分为观察组(30例)和对照组(30例)。观察组使用具有CO2浓度监测功能的重复呼吸面罩,对照组使用纸袋。比较2组患者症状缓解时间、Nijmegen评分、血气分析指标、疗效、满意度及护理费用。 结果 观察组患者症状缓解时间为(0.52±0.36)h,短于对照组的(1.13±0.42)h(t=6.040,P<0.001);观察组患者Nijmegen评分为(7.23±3.56)分,低于对照组的(11.57±3.84)分(t=4.540,P<0.001);治疗后2组患者血液酸碱度(pH)较治疗前降低,观察组下降更为明显;治疗后2组患者CO2分压(PCO2)水平较治疗前升高,观察组上升更明显;观察组总有效率(93.33%)高于对照组(66.67%,χ2=6.667,P=0.010);观察组治疗后满意率(96.67%)高于对照组(60.00%,χ2=11.882,P=0.001);观察组患者护理费用为(551.23±24.26)元,明显低于对照组的(875.42±26.87)元(t=49.050,P<0.001)。 结论 具有CO2浓度监测功能的重复呼吸面罩安全有效且价格低廉,可明显缩短疾病发作时间,降低护理费用,值得临床推广使用。Abstract: Objective To investigate the application of repeated respiratory mask with carbon dioxide concentration monitoring function in hyperventilation syndrome(HVS),in order to provide more reference for clinical rescue of HVS patients. Methods From December 2017 to December 2018, 60 HVS patients admitted to the emergency department of our hospital were randomly divided into observation group(n=30) and control group(n=30) according to the random number table methods. The observation group received repeated respiratory mask with carbon dioxide concentration monitoring function, while the control group received plastic bag instead of nasal/mouth mask. Then the symptom remission time, Nijmegen score, blood gas analysis index, treatment effect, satisfaction and nursing cost were observed and compared between the two groups. Results The symptom remission time of the observation group was significantly shorter than that of the control group[(0.52±0.36) h vs.(1.13±0.42) h, t=6.040, P<0.001]. The Nijmegen score of the observation group was significantly lower than that of the control group[(7.23±3.56) scores vs(11.57±3.84) scores, t=4.540, P<0.001]. Blood pH was decreased in both groups after treatment, and was more obvious in the observation. PCO2 level was increased in both groups after treatment, and was more significant in the observation group than in the control group. The clinical efficacy of the observation group was higher than that of the control group(93.33% vs. 66.67%, χ2=6.667, P=0.010). The satisfaction rate of the observation group was significantly higher than that of the control group(96.67% vs. 60.00%, χ2=11.882, P=0.001). The nursing cost of the observation group was significantly lower than that of the control group[(551.23±24.26) yuan vs.(875.42±26.87) yuan, t=49.050, P<0.001]. Conclusion The repeated respiratory mask with carbon dioxide concentration monitoring function is safe, effective and cheap for HVS patients, which can significantly shorten the time of disease onset and reduce the cost, so it is worthy of clinical promotion.
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