持续加温湿化氧疗在气管切开患者脱机中的应用  

Application of continuous heated humidification oxygen therapy during weaning from ventilation in tracheotomy patients

作　　者：江方正[1] 李雪[2] 叶向红[1] 李维勤[1] 

机构地区：[1]南京军区南京总医院普通外科研究所ICU,南京市210002 [2]南京军区南京总医院普通外科研究所肿瘤科,南京市210002

出　　处：《中华护理杂志》2011年第2期128-130,共3页Chinese Journal of Nursing

基　　金：军队十一五医药卫生科研基金重点资助项目(批准号:06G041)

摘　　要：目的观察气管切开患者脱机后使用持续加温湿化氧疗的效果。方法选择2010年3～8月30例气管切开患者为试验组,采用持续加温湿化氧疗进行气道湿化;2009年9月至2010年2月30例气管切开患者为对照组,采用人工鼻进行气道湿化。结果试验组患者痰液黏稠度、二氧化碳分压、呼吸频率、肺部感染率明显低于对照组,气道湿化效果优于对照组,差异有统计学意义(P<0.01)。结论持续加温湿化氧疗在气管切开患者脱机中湿化效果满意,痰液黏稠度较稀薄,肺部感染率较低。Objective To evaluate the effectiveness of continues heated humidification oxygen therapy during weaning from ventilation in tracheotomy patients.Methods The continuous heated humidification oxygen therapy and artificial nose were applied in airway humidification in 30 patients in experimental group and 30 patients in control group.Results There were significant differences on the viscosity of the sputum,CO2 partial pressure,breathing rate and incidence of pulmonary infection between the two groups,experiment group was better.The effectiveness of airway humidification was better in the experimental group than the control group.Conclusion Continues heated humidification oxygen therapy can achieve satisfied airway humidification effect during weaning from ventilation in tracheotomy patients with less possibility of sputum emboli formation and low risk of pulmonary inflection.

关 键 词：氧吸入疗法 呼吸 人工 护理 

分 类 号：R459.7[医药卫生—急诊医学]