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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Abstract Full text Figures/Tables Video References Cited by

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. 蓝慧兰, 王首红, 黄碧灵, 等. 三种呼吸机湿化管道系统对人工气道湿化的效果[J].中国实用护理杂志, 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. 孙颖, 席淑新. 人工气道湿化液和湿化方式的研究进展[J].护理研究, 2012, 26(16):1441-1444.
4. 蓝惠兰, 黄碧灵, 王首红, 等. 不同呼吸机湿化管道系统护理成本分析[J].护理学报, 2007, 14(6):1-4.
5. 吕用晓. 呼吸机湿化装置更换周期的研究进展[J].医疗装备, 2014, 27(7):16-17.
6. 郭慧荣, 刑慧萍, 汪慧才. 改良式呼吸机湿化罐注水法的效果评价[J].兵团医学, 2010(3):73-74.
7. 陈丽萍. 多种气道湿化方法湿化效果的比较研究[J].护理实践与研究, 2011, 8(12):3-5.
8. 陈凤佳, 曾勉, 卢桂芳, 等. ALI/ARDS患者无创正压通气不同湿化方式选择的研究[J].中国呼吸与危重监护杂志, 2010, 9(1):57-60.
9. 陈洁, 曾维灿. 输液器改进呼吸机湿化器加水方法的研究[J].检验医学与临床, 2014(7):995-997.
10. 杨晓容. 三种气道湿化方法的效果观察及研究[J].四川医学, 2011, 32(4):610-612.
11. 李小珍, 王英. 提高无创呼吸机湿化效能的护理进展[J].护理研究, 2011, 25(12):3115.
12. 唐梦琳, 张顺基, 杨翠. 机械通气带加热丝呼吸回路湿化效果分析[J].护士进修杂志, 2011, 26(13):1202-1204.
13. 张传静. 机械通气患者气道湿化影响因素的研究现状[J].临床荟萃, 2013, 28(11):1305-1308.
14. 俞森洋. 现代呼吸治疗学[M].北京:科学技术文献出版社, 2003:427.
15. 朱雅竹, 刘璐, 蒋亮. 吸入性损伤气管切开患者人工气道管理[J].华西医学, 2016, 31(8):1420-1422.
16. 赵玉, 陈叔媛, 刘玉华. 呼吸机雾化液不同加入方式与呼吸机相关肺炎的研究[J].河北医学, 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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