Study on the effect of nursing intervention on blood oxygen status and respiratory function in patients with high altitude pulmonary edema
护理干预对高原肺水肿患者的血氧状况及呼吸功能的影响研究

摘要

目的 分析讨论护理干预对高原肺水肿患者的血氧状况及呼吸功能的影响效果。方法 选择我院2022.03-2023.03所接收的45例高原肺水肿患者为研究对象，均对其进行护理干预，比较患者护理前后血氧状况、呼吸功能与血清炎症因子水平。结果 护理后患者血气分析指标[脉氧分压（64.18±5.73）mmHg，动脉二氧化碳分压（45.48±7.84）mmHg，血氧饱和度（96.13±4.35）%]优于护理前（P<0.05）；护理后患者呼吸力学指标[气道阻力（9.12±1.98）cmH2O/（L.s），呼吸做功（0.34±0.12）J/L，动态顺应性（35.25±5.01）mL/cmH2O]改善度比护理前高（P<0.05）；护理后患者血清炎症因子水平[白细胞介素-6为（3.12±0.98），白细胞介素-8为（5.68±1.79），血清肿瘤坏死因子为（18.42±4.15）]比护理前低（P<0.05）。结论 护理干预对高原肺水肿患者的血氧状况及呼吸功能改善效果明显，值得广泛推广与应用。

Abstract

Objective To analyze and discuss the effects of nursing intervention on blood oxygen status and respiratory function in patients with altitude pulmonary edema.
Methods 45 patients of 2022.03-2023.03 were selected to compare blood oxygen status, respiratory function and serum inflammatory factor levels before and after care.
Results [pulse partial oxygen pressure (64.18 ± 5.73) mmHg, PCO 2 (45.48 ± 7.84) mmHg, Oxygen saturation (96.13 ± 4.35)%] was better than before care (P <0.05); [Airway resistance (9.12±1.98)cmH2O/(L.s), Respiratory work (0.34 ± 0.12) J / L, Dynamic compliance (35.25 ± 5.01) mL / cmH2O] improvement was higher than before care (P <0.05); Serum level of inflammatory factors [interleukin-6 was (3.12 ± 0.98), Interleukin-8 was (5.68 ± 1.79), Serum tumor necrosis factor was lower in serum (18.42 ± 4.15)] than before care (P <0.05).
Conclusion   Nursing intervention has obvious effect on blood oxygen condition and respiratory function in patients with altitude pulmonary edema, which is worth extensive promotion and application.