两种呼吸道湿化法对气管切开患者的影响  

Clinical Therapeutic Effects of Two Airway Humidification Methods on Patients with Tracheotomy

作　　者：吴玲 武冬冬 朱洁 倪明珠 高国昀 

机构地区：[1]芜湖市第二人民医院护理部,安徽芜湖241000

出　　处：《解放军护理杂志》2010年第2期106-107,共2页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的比较气管切开患者呼吸道内间断湿化法与输液泵持续湿化法的临床效果。方法选取2008年11月至2009年5月某院行气管切开的患者50例,按住院病例单双号分为两组。实验组25例患者采用输液泵持续湿化,对照组25例患者采用呼吸道内间断湿化。比较两组患者痰痂形成、发生刺激性咳嗽、呼吸道黏膜出血及肺部感染情况。结果实验组痰痂形成、发生刺激性咳嗽、呼吸道黏膜出血的例数明显少于对照组(P<0.01),肺部感染发生率亦低于对照组(P<0.05)。结论输液泵持续呼吸道湿化可以明显减少痰痂形成、刺激性咳嗽、呼吸道黏膜出血及肺部感染的发生。Objective To compare the clinical therapeutic effects on tracheotomy patients with endotracheal intermittent humidification method(EIHM)and continuous airway humidification with infusion pump(CAHIP).Methods Fifty patients with tracheotomy from Nov.2008 to May 2009 were equally divided into two groups based on odd-even date of administration.The patients(n=25) of the experimental group were treated with CAHIP,and the patients of the control group(n=25) were treated with EIHM.A comparison was conducted between the two groups concerning formation of sputum,irritablecough,respiratory mucosal hemorrhage and pulmonary infection.Results The occurrences of sputum formation,irritating cough,respiratory mucosal hemorrhage among those in the experimental group were significantly less than those of the control group(P<0.01).The incidence of pulmonary infection was also lower than that of the control group(P<0.05).Conclusion CAHIP can significantly reduce the occurrence of callus formation,irritating cough,respiratory mucosal hemorrhage and pulmonary infection.

关 键 词：气管切开 呼吸道湿化 间断湿化 持续湿化 

分 类 号：R472.9[医药卫生—护理学]