2种气道湿化方法在气管切开患者中的效果观察  

Clinical Study of Airway Humidification in Patients With Trachea Dissection

作　　者：史秀凤[1] 杨作勤[1] 钱珍[1] 黄益盼[1] 薛倩[1] 王萌[1] 

机构地区：[1]马鞍山市中心医院ICU,安徽马鞍山243000

出　　处：《中外医疗》2012年第7期23-24,共2页China & Foreign Medical Treatment

摘　　要：目的探讨2种气道湿化方式对ICU气管切开术后非机械通气患者人工气道湿化效果的观察。方法选择2010年1月至2011年8月在我院ICU气管切开患者60例,以患者机械通气停用顺序编号分为实验组(单号)30例和对照组(双号)30例。实验组采用持续微泵推注进行气道湿化,对照组采用间断注射器注入法,湿化液均采用0.9%氯化钠溶液50mL+5%碳酸氢钠50mL进行气道湿化。结果实验组刺激性咳嗽、痰痂形成、气管黏膜出血、呼吸性相关性肺炎(VAP)发生方面比较低于对照组(P<0.05),差异有显著意义。结论 2种气道湿化方式对ICU气管切开术后非机械通气患者气道湿化效果比较有显著性差异(P<0.05)。采用持续微泵推注进行气道湿化可减少各种并发症的发生。选择气道湿化方法时不断改进,且考虑患者病情及耐受程度是舒适护理在执行当前推行的优质护理中很好地体现。Objective To observe the effect of airway humidification in patients with trachea dissection patients after mechanical ventilation.Methods 60 patients with trachea dissection after mechanical ventilation were divided into two groups by different airway humidification.the experimental group used continuous airway humidification by micro pump,the control used discontinuous injection.Results The incidence of ventilator-associated pneumonia,irritating cough,sputum scab,tracheal mucosal bleeding,in the experimental group were significantly lower than the control r group（P 0.05）.Conclusion The significantly difference between the two groups.To use continuous airway humidification can reduce the incidence of complication.

关 键 词：气道湿化 持续微泵推注 间断注射器推入 气管切开 

分 类 号：R541.4[医药卫生—心血管疾病]