Observation and Analysis of the Effect of Various Wetting Liquid Supply Modes for Noninvasive Ventilation_West China Medical Journal

Authors：

 DuChaoying , WangFeng , AoDongmei , HeGuoqing ,  WuXiaoling

Department of Respiratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

WuXiaoling, Email: xiaoling-wu1964@163.com

Keywords：

Humidification; Water supply mode; Non-invasive mechanical ventilation; Clinical effect

DOI：

10.7507/1002-0179.201600513

Video：

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Objective To compare the effect of three different wetting liquid supply modes for noninvasive ventilation. Methods Ninety patients who accepted noninvasive ventilation between February and October 2014 were randomly divided into three groups with 30 in each. Patients in group A underwent humidification with traditional kettle water; those in group B received humidification by one-time automatic water supplying; and patients in group C received continuous infusion to add water for humidification. The wetting effect and humidification related situations among the three groups of patients were compared and analyzed. Results There were statistically significant differences among the three groups in terms of wetting effect, comfort degree, water renewal cycle, working time and economic cost (P<0.05). Good wetting rate of group C was superior to group A and B (P<0.05), but there was no statistically significant difference between group A and B (P>0.05). Humidification comfort degree of group C was obviously higher than that in group A and B (P<0.05), while there was no statistically significant difference between group A and B (P>0.05). Water renewal cycle and working time of group C were significantly shorter than those in group A and B (P<0.05). At the same time, economic cost of group A and C was significantly less than that of group B (P<0.05), while there was no statistically significant difference between group A and C (P>0.05). Conclusion The kind of continuous infusion for humidification in noninvasive ventilation has a good therapeutic effect for patients receiving airway wetting therapy, which is worthy of clinical popularization and application.

Citation： DuChaoying, WangFeng, AoDongmei, HeGuoqing, WuXiaoling. Observation and Analysis of the Effect of Various Wetting Liquid Supply Modes for Noninvasive Ventilation. West China Medical Journal, 2016, 31(11): 1869-1872. doi: 10.7507/1002-0179.201600513 Copy

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1. 藍慧蘭, 王首紅, 黃碧靈, 等. 三種呼吸機濕化管道系統對人工氣道濕化的效果[J].中國實用護理雜志, 2008, 24(1A):1.
2. American Association for Respiratory Care, Restrepo RD, Walsh BK. Humidification during invasive and noninvasive mechanical ventilation:2012[J].Respir Care, 2012, 57(5):782-788.
3. 孫穎, 席淑新. 人工氣道濕化液和濕化方式的研究進展[J].護理研究, 2012, 26(16):1441-1444.
4. 藍惠蘭, 黃碧靈, 王首紅, 等. 不同呼吸機濕化管道系統護理成本分析[J].護理學報, 2007, 14(6):1-4.
5. 呂用曉. 呼吸機濕化裝置更換周期的研究進展[J].醫療裝備, 2014, 27(7):16-17.
6. 郭慧榮, 刑慧萍, 汪慧才. 改良式呼吸機濕化罐注水法的效果評價[J].兵團醫學, 2010(3):73-74.
7. 陳麗萍. 多種氣道濕化方法濕化效果的比較研究[J].護理實踐與研究, 2011, 8(12):3-5.
8. 陳鳳佳, 曾勉, 盧桂芳, 等. ALI/ARDS患者無創正壓通氣不同濕化方式選擇的研究[J].中國呼吸與危重監護雜志, 2010, 9(1):57-60.
9. 陳潔, 曾維燦. 輸液器改進呼吸機濕化器加水方法的研究[J].檢驗醫學與臨床, 2014(7):995-997.
10. 楊曉容. 三種氣道濕化方法的效果觀察及研究[J].四川醫學, 2011, 32(4):610-612.
11. 李小珍, 王英. 提高無創呼吸機濕化效能的護理進展[J].護理研究, 2011, 25(12):3115.
12. 唐夢琳, 張順基, 楊翠. 機械通氣帶加熱絲呼吸回路濕化效果分析[J].護士進修雜志, 2011, 26(13):1202-1204.
13. 張傳靜. 機械通氣患者氣道濕化影響因素的研究現狀[J].臨床薈萃, 2013, 28(11):1305-1308.
14. 俞森洋. 現代呼吸治療學[M].北京:科學技術文獻出版社, 2003:427.
15. 朱雅竹, 劉璐, 蔣亮. 吸入性損傷氣管切開患者人工氣道管理[J].華西醫學, 2016, 31(8):1420-1422.
16. 趙玉, 陳叔媛, 劉玉華. 呼吸機霧化液不同加入方式與呼吸機相關肺炎的研究[J].河北醫學, 2009, 31(16):2118.

West China Medical Journal

Observation and Analysis of the Effect of Various Wetting Liquid Supply Modes for Noninvasive Ventilation

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