雾化器不同位置对机械通气病人气道疗效的观察  

Observation on the airway effect of nebulizer at different positions for patients undergoing mechanical ventilation

作　　者：温敏[1] 郑凤梅[1] 李桂贤[1] 徐佳卿[1] 

机构地区：[1]北京大学深圳医院

出　　处：《全科护理》2011年第15期1324-1325,共2页Chinese General Practice Nursing

摘　　要：[目的]观察连续雾化器置于呼吸机回路不同位置工作时对病人气道疗效的影响。[方法]随机将60例慢性阻塞性肺病(COPD)行机械通气、雾化治疗病人分为3组。A组雾化器置于呼吸回路吸气端离气管插管约50 cm处,B组置于Y型接头吸气端,C组置于气管插管处。[结果]A组和B组、A组和C组雾化后评分及评分改善值有统计学意义(P<0.05),A组气道疗效有效率最高(P<0.05)。[结论]连续雾化器置于呼吸回路离气管插管约50 cm处行雾化治疗气道疗效的有效率最高。Objective：To observe on the influence of continuous nebulizer putting in different locations of breathing machine circuit work on therapeutic effect of airway of patients.Methods：A total of 60 COPD patients accepting mechanical ventilation and nebulization treatment were randomly divided into 3 groups.Patients of group A placed the nebulizer inhalation-side 50 cm away from the breathing circuit of the endotracheal tube.Nebulizer for patients of group B were placed in inhalation-side of Y-type joint.And nebulizer for group C patients placed at the site of tracheal intubation.Results：Compared with group A and group B,and patients of group A with group C,in terms of scorings of patients after nebulization and scoring improving values,there were statistical significant differences（P〈0.05）.Patients of group A reached higher effectiveness of airway.Conclusion：Continuous nebulizer placed in breathing circuit 50 cm from the endotracheal tube may gain the highest effect of nebulization treatment of airway.

关 键 词：雾化器 机械通气 疗效 

分 类 号：R472[医药卫生—护理学]