旋转式气道冲洗及持续性湿化在气管切开术后护理中的应用  

Application of rotary airway irrigation and constant humidification in nursing after tracheotomy

作　　者：颜玉贤 李倩萍 欧小晶 蔡燕婷 

机构地区：[1]广东省阳江市人民医院内三科,阳江市529500

出　　处：《护理实践与研究》2016年第16期130-131,共2页Nursing Practice and Research

摘　　要：目的:观察旋转式气道冲洗及持续性湿化在气管切开术后护理中的临床效果。方法:将我院收治的气管切开术后患者60例,随机等分观察组及对照组,对照组予常规气管切开术后护理;观察组予糜蛋白酶稀释液根据痰液黏稠分度作气道旋转式冲洗后吸痰,持续予微量泵输入糜蛋白酶稀释湿化气道,比较两组患者平均吸痰次数、痰痂形成、气道堵塞、肺部感染发生情况及拔管时间、住院时间等。结果:观察组患者的吸痰次数、痰痂形成、气道堵塞、肺部感染发生例数少于对照组,拔管时间、住院时间较对照组缩短,差异有统计学意义(P<0.05)。结论:旋转式气道冲洗及持续性湿化对气管切开术后患者可有效改善治疗效果,降低不良事件的发生,缩短住院时间,减少患者痛苦。Objective ： To observe the clinical effect of rotary airway irrigation and constant humidification in nursing after tracheotomy. Methods ： Randomly divided 60 patients after tracheotomy admitted in our hospital into observation group and control group. The control group was given with routine postoperative nursing of tracheotomy, while the observation group was given with cbymotrypsin dilution for sputum suction after rotary airway irrigation according to sputum viscosity, and was constantly input with chymotrypsin dilution for airway humidification through micro pump. Compared the average sputum suction time, sputum scab formation, airway obstruction, lung infection occurrence condition, extubation time and hospital stay of patients in the two groups. Results ： The sputum suction time, sputum scab formation, airway obstruction, lung infection case of the observation group were less than those of the control group, the extubation time and hospital stay were less than those of the control group, and the differences were of statistical significance （ P 〈 0.05 ）. Conclusion：Rotary airway irrigation and constant humidification can effectively improve the therapeutic effect on patients after tracheotomy, reduce the occurrence of adverse event, shorten hospital stay and relieve patients＇ pain.

关 键 词：气道冲洗 气道湿化 气管切开术 

分 类 号：R473.6[医药卫生—护理学]