人工鼻在颈髓损伤气管切开患者气道管理中的应用  

Application of artificial nose to airway management of patients with cervical spinal cord injury after tracheotomy

作　　者：李丽莉[1] 叶茂[1] 

机构地区：[1]中国医科大学附属第一医院,辽宁沈阳110001

出　　处：《齐鲁护理杂志（下旬刊）》2011年第5期6-8,共3页Journal of Qilu Nursing

摘　　要：目的:探讨人工鼻在颈髓损伤气管切开患者气道管理中的应用效果。方法:将42例呼吸道未感染颈髓损伤气管切开患者随机分为实验1组和对照1组各21例,将48例呼吸道感染颈髓损伤气管切开患者随机分为实验2组和对照2组各24例,实验组采用人工鼻湿化法,对照组采用微量注射泵湿化法。结果:实验1组与对照1组、实验2组与对照2组痰液培养结果和气道湿化效果比较差异有统计学意义(P<0.05)。结论:人工鼻有良好的气道湿化效果,能有效预防和控制颈髓损伤气管切开患者的肺部感染,避免交叉感染。Objective： To explore the application effect of artificial nose to airway management of patients with cervical spinal cord injury after tracheotomy.Methods： 42 non respiratory tract infection patients with spinal cord injury after tracheotomy were randomly divided into experimental group A and control group A（21 cases for each group）,and the other 48 respiratory tract infection patients with cervical spinal cord injury after tracheotomy were randomly divided into experimental group B and control group B（24 cases for each group）.The airway humidification via artificial nose was applied in the experimental group and the airway humidification by micro-injection pump was used in the control group.Results： There were statistically significant differences in the comparison of sputum culture results and the effect of airway humidification between the experimental group A and the control group A and between the experimental group B and the control group B（P0.05）.Conclusion： The artificial nose has a good airway humidification effect and it can effectively prevent and control pulmonary infection and avoid cross infection in the airway humidification of the patients with cervical spinal cord injury after tracheotomy.

关 键 词：颈髓损伤 气管切开 人工鼻 肺部感染 

分 类 号：R473.6[医药卫生—护理学]