不同气道湿化法在脑出血术后气管切开老年患者中的应用  

Different methods of airway moist on wetting effect and pulmonary infection after tracheotomy for elderly patients with cerebral hemorrhage

作　　者：李冬梅[1] 姜华[1] 池健[1] 王秡 王卫星[1] 麻亚晶 

机构地区：[1]长春市中心医院,吉林长春130051

出　　处：《现代临床护理》2015年第9期41-44,共4页Modern Clinical Nursing

基　　金：吉林省卫生厅科技计划项目;项目编号为2012z C034

摘　　要：目的探讨间断雾化吸入法和微量泵控制持续气道湿化法对脑出血术后气管切开老年患者气道湿化效果和肺部感染发生的影响。方法将2012年2月-2013年2月入院的46例脑出血术后气管切开老年患者设为对照组,采用间断雾化吸入法进行气道湿化;将2013年3月-2014年3月入院的50例脑出血术后气管切开老年患者设为观察组,采用微量泵控制持续气道湿化法,比较两组患者气道湿化效果和肺部感染发生率的差异。结果观察组患者气道湿化效果满意率高于对照组;肺部感染发生率低于对照组,两组比较,差异均有统计学意义（均P〈0.05）。结论对脑出血术后气管切开老年患者采用微量泵控制持续气道湿化,不但可提高气道湿化效果,而且可降低患者肺部感染发生率。Objective To compare the effects of airway humidification by intermittent atomization inhalation and micro pump control on pulmonary infection after tracheotomy in elderly patients with serebral hemorrhage. Methods From February 2012 to February 2013, 46 elderly patients with heavy craniocerebral injury and tracheotomy were set as the control group, treated with intermittent atomization inhalation. From March 2013 to March 2014, 50 elderly patients with severe craniocerebral injury and tracheotomy were set as the observation group, treated with micro pump controlled continuous airway humidification. The two groups were compared in terms of the satisfaction rate and incidence of pulmonary infection. Result The satisfaction rate of the observation group was higher than that of the control group and the incidence of pulmonary infection was significantly lower than that of the control group （P〈0.05）. Conclusion Micro pump controlled airway humidification for elderly patients with severe craniocerebral injury can improve the airway humidification effect and reduce the incidence of pulmonary infection.

关 键 词：脑出血 老年 气管切开 气道湿化 肺部感染 

分 类 号：R473.6[医药卫生—护理学]