不同气道湿化方法在气管插管患者中的应用  

The application of different methods for airway moist in patients with tracheal intubation

作　　者：王静[1] 李芳[1] 马文娟[1] 李伯恩[1] WANG Jing LI Fang MA Wen-juan et al(The Second Affiliated Hospital of Bengbu medical college, Bengbu 233000,Anhu)

机构地区：[1]蚌埠医学院第二附属医院重症医学科,安徽233000

出　　处：《安徽卫生职业技术学院学报》2017年第1期161-162,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨三种不同的气道湿化方法对气道湿化效果的影响。方法:将126例建立人工气道并且行机械通气的患者按入院的先后顺序分为A、B、C三组,每组42例。A组采用传统湿化方法,间断向气道内注入湿化液;B组采用微量泵持续向气道内泵入湿化液;C组采用呼吸机自带的雾化器装置,配合智能输液装置持续雾化。观察三组气道湿化不足、满意、过度的例数,并进行统计学分析。结果:气道湿化不足、气道湿化满意三组差异均有统计学意义(P<0.05或P<0.01),气道湿化过度三组差异无统计学意义(P>0.05)。结论:持续雾化式的湿化满意度明显优于间断式、持续滴注式气道湿化法。间断注入式易导致湿化不足。在临床护理中选用持续雾化式湿化法能得到满意的湿化效果。Objective：To study the three kinds of different methods of airway moist effects on airway of wetting effect.Methods：126 cases of establish A line of artificial airway and mechanical ventilation patients are divided into A, B, C three groups according to admission order, each group of 42 cases. Group A with traditional wet method, intermittent injection of wetting liquid inside the airway;Group B by micro pump continuous pumping of wetting liquid into the airway;Group C using atomization device incorporated into breathing machine, coupled with intelligent monitor system for atomization. Observation was made into the three groups in terms of lack, satisfaction, excessive airway moist, number of cases, and statistical analysis was made.Results：Lack and satisfaction of airway moist in three groups have statistical significance （ P〈 0.05 or P〈 0.01 ） .Ex cessive airway moist in three groups has no statistical significance （ P〉 0.05 ） .Conclusion：the sustained atomizing type of wetting, degree of satisfaction is superior to intermittent injection and continuous drip type. Intermittent injection can lead to insufficient wetting. In the clinical nursing, sustained atomizing type of wetting method helps to get satisfactory of wetting effect.

关 键 词：气道湿化 机械通气 

分 类 号：R472[医药卫生—护理学]