两种吸氧和湿化方法在气管切开中的效果比较  

Effects comparison of oxygen inhalation and airway humidification in patients with tracheotomy

作　　者：卿红英 黄婷[2] 

机构地区：[1]南充市中心医院神经外科,四川南充637000 [2]南充市精神卫生中心,四川南充637000

出　　处：《现代医药卫生》2014年第11期1618-1620,共3页Journal of Modern Medicine & Health

摘　　要：目的探讨气管切开患者不同吸氧和气道湿化方法的临床效果。方法将2012年3月至2013年7月行气管切开的105例患者随机分为观察组52例和对照组53例。对照组患者采用头皮针管吸氧加输液泵持续湿化气道,观察组患者采用气管切开面罩吸氧湿化,比较两组患者的呼吸频率、手指脉搏血氧饱和度、湿化效果、肺部感染发生率及手术当天至术后6 d用于气管切开平均每天每项护理的总时间和治疗费用。结果两组患者在呼吸频率和手指脉搏血氧饱和度、湿化效果方面比较,差异无统计学意义(P>0.05),在肺部感染发生率、护理时间、医疗费用等方面比较,观察组优于对照组,差异有统计学意义(P<0.05)。结论气管切开面罩吸氧湿化用于气管切开患者效果满意,既经济,又能节约护理人力资源。Objective To explore the clinical effects of various oxygen inhalation and airway humidification in patients with tracheotomy. Methods Totally 105 patients with tracheotomy from February 2012 to July 2013 were randomized into observa-tion group（n=52） and control group（n=53）. The patients in control group had scalp needle for oxygen inhalation and infusion pump for airway humidification continuously ,while the patients in observation group was treated with tracheotomy mask for oxygen and moisture. Comparison was conducted between the two groups on respiratory rate,finger pulse oxygen saturation,humidifica-tion effect,the incidence of pulmonary infection,daily nursing time of each item and the cost on the day of surgery and 6 d after tracheotomy. Results There was no statistical significance in respiratory frequency,finger pulse oxygen saturation,humidifica-tion effect between the two groups（P〉0.05）. However,the incidence rate of pulmonary infection,nursing time,hospitalization costs and so on in the observation group were better than those in the control group with statistically significant difference （P〈0.05）. Conclusion Tracheotomy mask for oxygen and moisture has satisfactory effect of humidification for patients with tracheotomy , which is economy as well as saving nursing human resources.

关 键 词：气管切开术 氧吸入疗法 插管法 气管内 对比研究 气道湿化 

分 类 号：R472.9[医药卫生—护理学]