不同呼吸机湿化管道系统在老年机械通气患者中的应用效果对比  

Comparison of application efficacy of different ventilator tube-humidifying system in elderly patients with mechanical ventilation

作　　者：张云云[1] 宋燕波[1] 田雅丽[1] 达晓燕[1] 储敏娟 

机构地区：[1]江苏省人民医院老年ICU,江苏南京210029 [2]江苏省人民医院综合ICU,江苏南京210029

出　　处：《川北医学院学报》2016年第1期23-25,共3页Journal of North Sichuan Medical College

摘　　要：目的:探讨不同呼吸机湿化管道系统在老年机械通气患者中的应用效果。方法:选取老年机械通气患者140例,随机分为3组,其中A组(n=43)使用MR410型湿化管道系统,B组(n=47)使用MR730型湿化管道系统,C组(n=50)采用MR 850型一次性双加热式、自动加水加湿湿化管道系统。观察3组湿化效果、并发症发生情况、通气时间及管道护理情况。结果:C组湿化效果适中比例最高,其次为B组,A组最低,3组间差异有统计学意义(P<0.01)。C组无导管痰痂和气道痉挛的发生,A组发生率最高,3组间差异有统计学意义(P<0.01)。C组通气时间、管道总更换次数、呼吸机管道护理时数均低于A、B组,差异有统计学意义(P<0.01)。结论:使用MR850型一次性双加热式、自动加水加湿湿化管道系统湿化效果最好,能降低并发症发生率,缩短通气时间和护理工作量。Objective： To explore the application efficacy of different ventilator tube-humidifying system in elderly patients with mechanical ventilation. Methods： A total of 140 elderly patients with mechanical ventilation were selected randomly divided into 3groups,in which group A（ n = 43） was treated with MR410 tube-humidifying system,group B（ n = 47） with MR 730 tube-humidifying system and group C（ n = 50） with MR 850 tube-humidifying system with one-time double heating and autonomous water adding and humidification function. The humidifying efficacy,complications,ventilation duration and tube-nursing conditions were observed in all groups. Results： Group C was moderate in humidifying efficacy with highest ratio,followed by group B,and group A was the lowest,with all differences significant among 3 groups（ P〈 0. 01）. Group C had no complications like sputum scab in pipes and airway spasm,but group A had the highest rate of complications,and there were significant differences among 3 groups（ P〈 0. 01）. Group C was prominently lower in ventilation duration,total changing times of pipes,and the hours of nursing ventilator pipes than groups A and B,and the differences were significant（ P〈 0. 01）. Conclusion： Application of MR 850 tube-humidifying system with one-time double heating and autonomous water adding and humidification function is excellent in humidifying efficacy,which can reduce the rate of complications and shorten the ventilation duration and nursing workloads.

关 键 词：呼吸机湿化管道系统 机械通气 老年 护理时数 

分 类 号：R472[医药卫生—护理学]