加温持续气道湿化对减少人工气道并发症的作用  

Study on the function in reducing complication of artificial air passage by continuous warming humidification to air passage.

作　　者：张金娥[1] 李振秀[1] 

机构地区：[1]滕州市中心人民医院,山东滕州277500

出　　处：《齐鲁护理杂志》2005年第5期397-398,共2页Journal of Qilu Nursing

摘　　要：目的:探讨加温持续气道湿化对气管切开患者的护理效果.方法:随机将喉部术前或术后气管切开患者96例分为两组,治疗组48例采用加温持续(湿化液温度35～38℃)湿化气道,对照组48例用常温间断气道湿化法室温为20～22℃,并连续观察.结果:治疗组形成痰痂、发生刺激性咳嗽、气道出血的例数和吸痰次数均明显少于对照组(P＜0.01);肺部感染发生率及住院天数亦低于对照组(P＜0.05).结论:加温持续气道湿化可明显减少痰痂形成,刺激性咳嗽,气道出血及肺部感染的发生,并可减少吸痰次数,减轻吸痰所致的低氧血症程度并缩短其持续时间及住院天数.Objective： To discuss the nursing effect on the patients with tracheotomy by continuous wanning humidification to air passage. Methods： To divide 96 patients with tracheotomy into two groups （48 each） at random. The treated group was given continuous warming humidification to air passage （fluid 35～38℃ ）, and control group given interval ordinary humidification to air passage （ room temperature 20～22℃ ）. Results ： sputum crust, irritable cough and blooding in air passage were less seen in treated group than control group（ P 〈0. 01 ）. The incidence of pulmonary infection and hospitalized days were less than control group（ P 〈 0. 05 ） . Conclusion ： Continuous warming humidification to air passage can reduce the form of sputum crust, incidence of irritable cough, blooding in air passage, sputum aspiration and hypoxia caused by sputum aspiration as well.

关 键 词：呼吸道湿化 气管切开术 护理 

分 类 号：R473.76[医药卫生—护理学]