盐酸氨溴索微量泵持续湿化在脑出血气管切开患者的应用体会  

Hydrochloric acid ammonium bromide line trace pump continued in wet process of cerebral hemorrhage patients with tracheotomy application experience

作　　者：王亮珠 任晓红[1] 

机构地区：[1]西安电力中心医院脑病科,陕西西安710032

出　　处：《医药前沿》2015年第2期51-52,共2页Journal of Frontiers of Medicine

摘　　要：目的：观察脑出血气管切开术患者应用不同药物进行气道湿化方法的临床效果。方法：将40例气管切开患者随机分为盐酸氨溴索组及a-糜蛋白酶组，沐舒坦组应用盐酸氨溴索经微量泵持续气道湿化，a-糜蛋白酶组应用a-糜蛋白酶经微量泵持续气道湿化，比较通过两种不同的药物气道湿化方法，对比痰痂形成、痰的粘稠度、呼吸道感染、气道损伤、护理工作时数。结果：采用盐酸氨溴索持续微量注射泵持续湿化的患者发生呼吸道感染、痰痂形成、气道损伤、刺激性咳嗽的概率小于a-糜蛋白酶组。经统计学处理，差异均有统计学意义（P〈0．01）。结论：氨溴索持续气道湿化能有效降低气管切开患者肺部感染率，效果明显优于a-糜蛋白酶。Objective To observe the cerebral hemorrhage patients with tracheotomy application of the clinical effect of different drugs on airway moist. Methods 40 patients with tracheotomy were randomly divided into two groups, using two different methods of drug airway moist, comparative and sputum scab formation, consistency, respiratory tract infection, airway damage, nursing work hours. Results Use hydrochloric acid amine bromide line trace injection pump for continuous wetting patients with respiratory tract infection, sputum scab formation, airway damage, the probability of irritating cough less than a - chymotrypsin group. After statistics processing, the differences were statistically significant （P 〈 0. 01）. Conclusions Ammonia bromine line continuous airway moist can effectively reduce the tracheotomy in patients with lung infection and effect is better than a - chymotrypsin.

关 键 词：气管切开 盐酸氨溴索 气道持续湿化 

分 类 号：R615[医药卫生—外科学]