头面部烧伤合并吸入性损伤病人气道灌洗效果观察与护理  

Observation on effect of airway lavage for head and facial burns patients coplicated with inhalation injury and nursing care of it

作　　者：潘凌燕[1] 

机构地区：[1]江苏省苏北人民医院

出　　处：《全科护理》2012年第29期2699-2701,共3页Chinese General Practice Nursing

摘　　要：[目的]观察头面部烧伤合并吸入性损伤病人气道灌洗的效果。[方法]对32例头面部烧伤合并重度吸入性损伤实施气管切开病人给予超声雾化吸入,并给予吸痰护理及气管切开护理,监测气道灌洗前后吸出痰液的性状、心率、呼吸频率、血氧饱和度、动脉血二氧化碳分压(PaCO2)、动脉血氧分压(PaO2)及动脉血pH值。[结果]气道灌洗后病人的心率及呼吸频率明显减缓;SpO2与PaO2值明显上升,动脉血pH值明显下降,与气道灌洗前比较差异有统计学意义(P<0.01)。[结论]对烧伤合并吸入性损伤病人给予气道灌洗可明显改善低氧血症、发绀及呼吸窘迫等状况。Objective：To observe the effect of airway lavage for head and facial burns patients coplicated with inhalation injury.ethods：A total of 32 patients with head and facial burns coplicated with severe inhalation injury undergoing tracheotoy were given ultrasonic atoizing inhalation,suctioning care and tracheotoy care,and the traits of aspirated sputu,heart rate and respiratory rate,oxygen saturation,arterial carbon dioxide partial pressure（PaCO2）,arterial oxygen pressure（PaO2） and arterial pH values were onitored before and after airway lavage.Results：After airway lavage,the patients＇ heart rate and respiratory rate slowed down significantly;SpO2 and PaO2 significantly increased,arterial pH value decreased significantly,there were statistically significant differences（P0.01）.Conclusion：The airway lavage for burn patients coplicated with inhalation injury can significantly iprove hypoxeia,cyanosis and respiratory distress.

关 键 词：头面部烧伤 重度吸入性损伤 气道灌洗 护理 

分 类 号：R473.6[医药卫生—护理学]