Evaluation of the effect of two active warming and humidifying high-flow oxygen therapy systems in patients with tracheotomy.

The present study evaluated the effect of two active warming and humidifying high-flow oxygen therapy systems in patients with tracheotomy, in order to provide a basis for selecting the method of humidification oxygen therapy for tracheotomy. A total of 78 patients with tracheotomy, who underwent surgery between July 2017 and December 2017, were randomly divided into an observation group (39 patients) and a control group (39 patients). Patients in the observation group were treated with artificial airway high-flow humidification oxygen therapy in a closed suction system. Patients in the control group were treated using a respiratory humidification therapy device. Changes of sputum viscosity, pulmonary infection, arterial oxygen partial pressure (PaO2), arterial blood carbon dioxide partial pressure (PaCO2) and arterial oxygen saturation (SaO2) were observed at 0, 48 and 96 h, and 7 days following oxygen therapy. The sputum viscosity and lung infection in the observation group were lower than those in the control group at 48, 96 h and 7 days following oxygen therapy, and the PaO2 and SaO2 were higher in the observation group than in the control group, which was statistically significant (P<0.05). However, there was no statistically significant difference (P>0.05) in PaCO2 between the two groups. In conclusion, the artificial airway high-flow humidification oxygen therapy closed suction system was considered more suitable for long-term oxygen therapy of tracheotomy patients than the respiratory humidification therapy device. It can improve airway humidification and oxygen levels at lower equipment and consumable costs. The effects of treatment aim to reduce lung infections, which have clinical implications to a certain extent.

RCT Entities:   Population Interventions Outcomes