气管切开后不同湿化液对气道湿化的效果比较  

Effect comparison of different wetting liquid after tracheotomy on airway humidification

作　　者：李春利[1] 徐雯[1] 

机构地区：[1]解放军总医院南楼神经内科三病区,北京100853

出　　处：《实用临床医药杂志》2014年第22期18-21,共4页Journal of Clinical Medicine in Practice

摘　　要：目的比较气管切开后不同湿化液对气道湿化的效果。方法将80例气管切开患者随机分为2组,各40例,研究组患者给予0.45%的氯化钠溶液湿化气道,对照组患者给予注射用水湿化气道,观察记录湿化效果、痰液粘黏稠度、呼吸道黏膜出血、刺激性咳嗽和肺部感染等并发症发生情况。结果对照组湿化效果较好33例(82.5%),湿化不足4例(10.0%),湿化过度3例(7.5%),研究组较好35例(87.5%),不足2例(5.0%),过度3例(7.5%),2组比较差异无统计学意义(P>0.05);对照组痰液黏稠度Ⅰ度占60.0%,Ⅱ度占25.0%,Ⅲ度占15.0%与研究组的62.5%,25.0%,12.50%相比较,差异无统计学意义(P>0.05);对照组呼吸道黏膜出血13例,刺激性咳嗽13例,肺部感染16例,显著高于研究组的3例、3例、6例,比较差异均有统计学意义(P<0.05)。结论 0.45%氯化钠溶液和注射用水用于气管切开后气道湿化,2者湿化效果良好,但0.45%氯化钠溶液的并发症发生率低,因此,0.45%氯化钠溶液是理想的湿化液,值得在临床上推广应用。Objective To compare effect of different wetting liquid after tracheotomy on airway humidification.Methods A total of 80 patients were randomly divided into the study group （n =40）and control group （n =40）.The study group was treated with 0.45% sodium chloride solution to humidify airway while the patients in the control group were given airway hu-midification water for injection.Wet effect,sputum viscosity,respiratory mucosal bleeding,irri-tating cough and lung infections and other complications were observed.Results In the control group,better humidification effect was in 33 cases （82.5%）,humidification deficiency was in 4 cases （10.0%）,excessive wet was in 3 cases （7.5%）.In the study group,better humidification effect was in 35 cases （87.5%）,humidification deficiency was in 2 cases （5.0 %）,excessive wet was in 3 cases （7.5%）.The result revealed that the difference was not statistical significant （P 〉0.05）.Ⅰ degree sputum viscosity in the control group accounted for 60.0%,Ⅱdegree accounted for 25.0%,Ⅲ degree accounted for 62.5% and 15.0%,25.00% and 12.50% in the study group respectively,which showed no statistical difference（P 〉0.05）.Respiratory tract bleeding occurred in 13 cases in the control group and 3 cases in the study group,irritating cough in 13 cases in the control group and 3 cases in the study group,pulmonary infection in 16 cases and 6 cases in the study group ,the comparison result revealed that the difference was statistical significant （P 〈0.05）.Conclusion 0.45% sodium chloride solution and injective water after tracheotomy for air-way humidification achieve good effect,but the complications of 0.45% sodium chloride solution is lower,so it is worthy of clinical application.

关 键 词：气管切开 湿化液 气道湿化 

分 类 号：R472.9[医药卫生—护理学]