Costello R W, Liston R, McNicholas W T
University Department of Respiratory Medicine, St Vincent's Hospital, Dublin, Ireland.
Thorax. 1995 Apr;50(4):405-6. doi: 10.1136/thx.50.4.405.
The factors that influence nocturnal compliance among patients prescribed low flow oxygen therapy were determined and tolerance of nasal cannulae and Venturi face masks compared.
Two studies were performed: (1) a prospective study of 99 hospitalised patients prescribed low flow oxygen therapy, 49 on nasal cannulae and 50 on Venturi face mask; and (2) a prospective study of 20 separate patients with an acute respiratory disorder requiring low flow oxygen therapy who were given nasal cannulae and Venturi face mask on successive nights in random order.
In study 1, 49 patients dislodged their device at least once during the night. Those using Venturi face masks and those over 75 years of age had the most dislodgements. In study 2 patients also dislodged Venturi face masks more frequently (mean (SD) 2.0 (2.4)) than nasal cannulae (0.7 (1.4)). Most patients expressed a preference for nasal cannulae.
Nocturnal tolerance of nasal cannulae is superior to Venturi face masks, and this factor should be considered when choosing the method of oxygen delivery.
确定了影响接受低流量氧疗患者夜间依从性的因素,并比较了鼻导管和文丘里面罩的耐受性。
进行了两项研究:(1)对99例接受低流量氧疗的住院患者进行前瞻性研究,其中49例使用鼻导管,50例使用文丘里面罩;(2)对20例患有急性呼吸疾病需要低流量氧疗的患者进行前瞻性研究,这些患者连续两晚随机使用鼻导管和文丘里面罩。
在研究1中,49例患者夜间至少有一次设备移位。使用文丘里面罩的患者和75岁以上的患者移位次数最多。在研究2中,患者使用文丘里面罩时的移位频率(均值(标准差)为2.0(2.4))也高于使用鼻导管时(0.7(1.4))。大多数患者表示更喜欢鼻导管。
鼻导管的夜间耐受性优于文丘里面罩,在选择氧输送方法时应考虑这一因素。