老年人工气道患者切开初期和6个月后气囊容积和压力的观察  

Observation of endotracheal balloon volume and pressure at the early phase and 6 months after tracheotomy in elderly patients with artificial airway

作　　者：杨晶[1] 何莺[1] 尹建敏[1] 侯惠如[1] 

机构地区：[1]解放军总医院南楼护理部,北京市100853

出　　处：《护理管理杂志》2011年第10期725-726,共2页Journal of Nursing Administration

基　　金：全军保健基金课题(2008WZBH10)

摘　　要：目的观察气管切开初期和6个月后气囊容积和压力情况,为临床科学地进行气囊管理提供依据。方法连续动态监测长期置管机械通气老年患者气囊压力及容积变化情况,并比较气管切开初期和6个月后的气囊压力及容积变化。结果留置套管6个月气囊压力增加(P<0.01),而气囊容积变化不大(P>0.05)。结论在人工气道气囊的护理中,应重视气囊压力的监测,以提高人工气道的护理水平,减少相关并发症的发生。Objective To observe the endotracheal balloon volume and pressure at the early phase and 6 months after traeheotomy, so as to provide scientific evidence for endotracheal balloon management. Methods The endotracheal balloon pressure and volume were monitored continuously in the elderly patients who received long duration artificial airway ventilation therapy. Then the changes of endotracheal balloon pressure and volume at the early phase and 6 months later were analyzed among the patients who survived more than 6 months after tracheotomy. Results The balloon pressure increased significantly after the cannula was indwelled for 6 months （ P 〈 0.01 ）, but there was no significant change on balloon volume （ P 〉 0.05 ）. Conclusion To improve the level of artificial airway nursing and lower the relevant complications, nurses should attach importance to monitoring the balloon pressure in artificial airway nursing.

关 键 词：人工气道 留置时间 气囊容积 气囊压力 

分 类 号：R473.5[医药卫生—护理学]