高流量鼻管治疗新型冠状病毒感染的临床观察

Mutia A. Pratiwi
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引用次数: 0

摘要

2019冠状病毒病(COVID-19)是由一种名为“严重急性呼吸综合征冠状病毒2”(SARS-CoV 2)的病毒引起的。COVID-19最常见的表现包括发烧> 37.5˚C、咳嗽、流感、嗅觉丧失和呼吸窘迫。在严重的情况下,它会导致急性呼吸窘迫综合征(ARDS),并迅速转变为呼吸衰竭。因此,COVID-19急性呼吸窘迫综合征患者需要在医院进行重症监护,并提供氧气支持。用于治疗COVID-19伴ARDS的一种氧疗是高流量鼻插管(HFNC)。本研究的目的是在文献综述的基础上确定HFNC治疗COVID-19合并ARDS患者的有效性。本研究采用文献回顾研究设计。文献来源在Google Schoolar, Science Direct, Pubmed和Sage Journal上进行,最终结果获得8篇文章进行了审查。这8篇文章的结果表明,HFNC氧疗从高流量开始,再根据患者的严重程度逐渐减少到低流量,对减少COVID-19合并ARDS患者的机械通气需求和增加气体交换有积极的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A clinical review of using high flow nasal cannule for patients with COVID-19 infection
Coronavirus Disease 2019 (COVID-19), is caused by a virus called Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV 2). The most common manifestations of COVID-19 include fever > 37.5˚C, cough, flu, anosmia, and respiratory distress. In severe cases it can cause Acute Respiratory Distress Syndrome (ARDS) which quickly turns into respiratory failure. Therefore COVID-19 patients with ARDS require intensive care in a hospital with oxygen support. One type of oxygen therapy used to treat COVID-19 with ARDS is administration of a High Flow Nasal Cannula (HFNC). The purpose of this study was to determine the effectiveness of HFNC therapy in COVID-19 patients with ARDS based on a literature review. This study used a literature review research design. Sources of literature carried out on Google Schoolar, Science Direct, Pubmed, and Sage Journal with the final results obtained 8 articles that were reviewed. The results of the 8 articles stated that the gradual administration of HFNC oxygen therapy starting from providing high-flow oxygen and then decreasing it to a lower flow according to the severity of the patient had a positife impact on decreased need for mechanical ventilation and increased gas exchange of COVID-19 patients with ARDS.
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