两种气道湿化和吸氧方法的临床应用与效果比较  

Two clinical researches on the airway humidification and oxygen inhalation and their effectiveness comparison

作　　者：肖榕婵[1] 沈锐[1] 黄守春[1] 伍景红[1] 李丽红[1] 武小红[1] 冯祥生[1] 

机构地区：[1]中山大学附属佛山市第一人民医院烧伤整形科,528000

出　　处：《中华损伤与修复杂志（电子版）》2009年第5期34-36,共3页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

摘　　要：目的探讨烧伤合并吸入性损伤患者气管切开术后,应用改进后气管套管内持续湿化和吸氧方法的效果和意义。方法对2003年1月至2009年5月中山大学附属佛山市第一人民医院烧伤整形科收治的烧伤合并吸入性损伤并气管切开患者64例,随机分为两组即改良治疗组和传统治疗组,各组32例,两组患者年龄、烧伤面积和吸入性损伤的情况相当,具有可比性。两组分别采用改进后持续湿化和吸氧方法及传统的持续湿化和吸氧方法,并对两种气管套管内持续湿化和吸氧方法所产生的结果,如痰痂形成例数、气管出血例数、肺部感染发生例数等指标进行观察、对比、分析。结果改良治疗组32例患者无一例有气管痰痂形成,有1例气道出血,31例患者SpO2>95%,1例肺部感染;而传统治疗组32例患者有痰痂形成者5例,7例气道出血,23例患者SpO2>95%,5例肺部感染;两组比较差异有统计学意义(P<0.05)。另外改良治疗组治疗过程中1例患者死亡,传统治疗组有2例患者死亡,两组比较差异无统计学意义(P>0.05)。结论应用改进后微量输液泵气管套管内持续湿化和吸氧同一通道方法,能够较好地提高气道湿化效果,有利于痰液及时排出;能够明显改善肺的顺应性,改善通气,明显降低肺部感染发生率;同时该方法方便护士进行吸痰操作,减少护理工作;其整体效果明显优于常用微量输液泵气管套管内持续湿化和吸氧两条通道的方法,值得临床推广应用。Objective To investigate the clinical nursing care effect of improved method of airway humidification and oxygen inhalation on injury patients after tracheotomy. Methods From January 2003 to May 2009, 64 patients suffering from inhalation injury and tracheotomy were included. These patients were randomized into two groups： traditionally treating group （n=32） and improved treating group （n=32）. The severty of the patients of two groups were comparable. The nursing results of two groups were evaluated using the occurrence of hemorrhage in airway, formation of sputum crust and pulmonary infection, SpO2 and death rate as evaluation criteria. Results In improved treating group, continuous airway humidification and oxygen inhalation were comformed simultaneously using microelectric pump infusion. The occurrence of hemorrhage in airway, formation of sputum crust and pulmonary infection, cases of patients SpO2 〉 95% in the improved treating group were superior to those of the traditional treating group （ P 〈 0.05） while 1 patient died in improved treating group and 2 patients died in traditionally treating group without statistical significance （P〉 0.05）. Conclusions The improved way of continuous airway humidification and oxygen inhalation could effectively enhance the effect of humidification of airway, facilitate sputum evacuation, raise lung compliance, lower the pulmonary infection rate and cut down the nurses＇ work. It could be a promising method and worth to being put into wide using.

关 键 词：烧伤 吸入性 气管造口术 气道湿化 吸氧 

分 类 号：R472[医药卫生—护理学]