气管切开非机械通气中两种吸氧方法的比较  

Tracheotomy for Mechanical Ventilation in the Two Kinds of Non-oxygen Methods

作　　者：廖筱媛 邓小丹[1] 

机构地区：[1]四川省中江县人民医院,四川中江618100

出　　处：《保健医学研究与实践》2010年第1期40-41,43,共3页Health Medicine Research and Practice

摘　　要：目的探讨气管切开非机械通气患者使用自制吸氧罩与传统内套管吸氧的优缺点,为指导临床工作提供依据。方法将气管切开非机械通气病例随机分为试验组与对照组,试验组27例,行罩内吸氧,对照组27例,经内套管吸氧,比较吸痰时SaO2和肺部感染率,并监测罩内湿度与温度。结果吸痰不同时间的SaO2试验组均高于对照组(P<0.01);肺部感染率试验组为7.4%,对照组为29.6%,差异有统计学意义(P<0.05)。罩内湿度为95%～100%,罩内温度为32℃～34℃。结论使用自制吸氧罩为气管切开非机械通气病人行罩内吸氧,能有效地减轻吸痰时SaO2降低程度,且能使吸入气自动加温、湿化,降低肺部感染率。Objective To investigate the advantages and disadvantages of tracheotomy in patients with non-mechanical ventilation hood with traditional home-made oxygen mask within in order to provide a basis to guide clinical work. Method Tracheotomy non-mechanical ventilation were randomly divided into experimental group and control group, with experimental group consisting of 27 cases, line hood oxygen,and control group 27 cases and by the oxygen inside the casing, to compare SaO2 and pulmonary infection during suctioning rate, and to monitor the humidity and temperature inside the hood. Results The suction at different times of the SaO2 experimental group were higher（P〈0. 01）; pulmonary infection rates were 7. 4% in the experimental group and 29.6 % in control group, The difference was statistically significant （P〈 0.05）. Hood humidity is 95%-100% ,and temperature is 32℃-34℃. Conclusion Oxygen mask for the self-tracheotomy patients undergoing non-mechanical ventilation hood oxygen, can effectively reduce the suction when the SaO2 lower levels,help breathe air automatic heat, wet,and reduce lung infection.

关 键 词：气管切开 非机械通气 动脉血氧饱合度 肺部感染 

分 类 号：R472.3[医药卫生—护理学]