人工鼻在机械通气病人中应用的性价比调查  

Ratio between effects and values of artificial noses on ventilated patients

作　　者：黎梅芳[1] 彭婉仪[1] 林雪霞[1] 邓庆萍[1] 王晓萍[1] 邬敏志[1] 黄海英[1] 

机构地区：[1]广东省中山市博爱医院ICU,528403

出　　处：《中国实用护理杂志》2004年第12期1-2,共2页Chinese Journal of Practical Nursing

基　　金：2003年度广东省中山市科研基金立项课题 (编号 :2 0 0 3C113 )

摘　　要：目的　调查经人工气道进行机械辅助通气病人使用人工鼻的性能效价比。　方法　 10 8例经人工气道进行机械辅助通气的病人按随机原则分为对照组和人工鼻组 ,比较常规人工气道管理与使用人工鼻时的护理项目 ,每日所耗护理时数 ,所产生的费用 ,肺部感染的发生率等指标。　结果　每日为对照组所进行的气道湿化、雾化、冲洗、吸痰、倾倒管路积水、更换蒸馏水和拍背等护理项目均较人工鼻组显著增加 ;而进行人工气道管理时 ,每日所耗护理时数、费用及肺部感染发生率和纤维支气管镜吸痰及肺泡灌洗次数 ,对照组亦显著高于人工鼻组。　结论　人工鼻具有良好的性价比 ,值得临床推广使用。Objective To investigate the ratio between effects and values of artificia l noses on venti lated patients with artificial airway. Methods 108 patients on me chanical ventilation with artificial airway were randomized into control group a nd artificial nose group. The indexes of nursing items of conventional manage of artificial airway, daily nursing hours and charges, incidence of pneumonia etc. were compared between control group and artificial nose group. Results The daily nursing items of conventional manage of artificial airway in cont rols, such as humidity, atomization, rinsing, sucking sputum, dumpage of hydroce le in tube, replacing distilled water, slapping the back of patients etc. had si gnificantly increased compared with artificial nose group. And the daily nursing hours and charges, incidence of pneumonia, sucking sputum and alveolar lavage b y fiber bronchoscope had also significantly higher than compared with artificial nose group. Conclusion The use of artificial noses had an excell ent ratio between effects and values and should be recommended to use and develo p for clinical application.

关 键 词：人工鼻 机械通气 性价比 护理技术 

分 类 号：R473[医药卫生—护理学]