加温湿化器不同湿化温度对人工气道湿化质量的影响  

Influences of different moist-temperatures of heated humidifier on humidification quality of artificial airways

作　　者：陈雪[1] 陶秀林[1] 周赛萍[1] 

机构地区：[1]广东药学院附属第二医院广州新海医院呼吸内科,广州市510300

出　　处：《护理实践与研究》2016年第13期122-123,共2页Nursing Practice and Research

摘　　要：目的：探讨加温湿化器不同湿化温度对人工气道湿化质量的影响。方法：选取2013年1月-2015年6月我院收治的建立人工气道并使用呼吸机的危重症患者100例，将其随机等分为 A，B 两组，A 组控制进口端温度32-34．5℃，B 组控制进口端温度34．6-35．9℃。比较两组患者在使用呼吸机3 d 后痰液黏稠度、湿啰音、痰痂、刺激性干咳，以及患者的平均总带管时间、吸入性肺炎发生率和患者满意度。结果：B 组患者痰液黏稠度轻于 A 组（P 〈0．05），痰痂发生率、刺激性干咳次数、吸入性肺炎发生率低于 A 组，带管时间短于 A 组（P 〈0．05），患者满意度高于 A 组（P 〈0．05）。结论：人工气道进口端气体温度会显著影响患者痰液黏稠度以及患者预后质量，因此临床上需要重视。Objective：To discuss influences of different moist - temperatures of heated humidifier on humidification quality of artificial airways. Methods：Se-lected 100 cases of critical patients treated with artificial airway and respirator in our hospital from January 2013 to June 2015,and randomly divided them into group A and group B equally. Airway inlet temperature ranging between 32 - 34. 5 ℃ was adopted for group A,while airway inlet temperature ranging between 34. 6 - 35. 9 ℃ was adopted for group B. After using respirator for 3 days,parents from both groups were compared for their sputum viscosity,moist rale,sputum scab,irritable dry cough,average total time of using respirator,aspiration pneumonia rate and patients satisfaction degree. Results：Group B patients had lower sputum viscosity（P 〈 0. 05）and lower sputum scab rate,irritable dry cough frequency and aspiration pneumonia rate,spent shorter time in using respirator（P 〈 0. 05）,and demonstrated higher satisfaction degree than group A（P 〈 0. 05）. Conclusion：Airway inlet temperature can affect spu-tum viscosity and rehabilitation quality after intervention significantly,which deserves clinical attentions.

关 键 词：湿化温度 人工气道 吸入型肺炎 

分 类 号：R472[医药卫生—护理学]