高流量鼻管氧氣於呼吸緩和照護的臨床應用

High Flow Nasal Cannula Oxygen Therapy in Respiratory Palliative Care

10.6537/TJHPC.2017.22(2).5

余昭宏(Chao-Hung Yu)；林益卿(I-Ching Lin)；蔡佩渝(Pei-Yu Tsai)；林盈利(Ying-Li Lin)

高流量鼻管氧氣治療 ； 呼吸衰竭 ； 緩和照護 ； high flow nasal cannula oxygen therapy ； respiratory failure ； palliative care

安寧療護雜誌

22卷2期（2017 / 07 / 01）

192 - 201

繁體中文

高流量鼻管氧氣用來治療呼吸衰竭，目前已有愈來愈多的文獻探討其臨床上的應用。從文獻回顧的文章，在不同狀態下，證實高流量氧氣不亞於非侵襲性正壓通氣，但與非侵襲性正壓通氣比較，病人能維持較好的品質，舒適度與耐受度也比較高。接受緩和治療的病人，往往希望不要再接受侵入性的治療，高流量鼻管氧氣治療本身為非侵入性且有效的氧氣治療。如能在全人照護的精神下，慎選能因治療而受益之病人，不啻為拒絕插管之呼吸衰竭病人的另一選擇。

There are more and more reports investigating the clinical use of high flow nasal cannula oxygen therapy in respiratory failure. In comparison with noninvasive positive-pressure ventilation, relevant reports showed high flow nasal cannula oxygen therapy resulted in better life quality, comfort, tolerance and a not inferior therapeutic effect. People received palliative care tend to ask for non-invasive therapies. High flow nasal cannula oxygen in essence is a non-invasive and effective therapy, which might be an alternative option for patients with respiratory failure and refused intubation.

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