喉癌术后早期带气囊气切导管患者的气道湿化护理研究  

The nursing research of airway humidification on laryngeal cancer early postoperative balloon gas

作　　者：温娴松[1] 吴湘玉[1] 李延萍[1] 刘烈萍[1] 

机构地区：[1]赣州市人民医院,江西赣州341000

出　　处：《临床医药实践》2017年第8期618-620,共3页Proceeding of Clinical Medicine

基　　金：江西省赣州市指导性科技计划课题(项目编号:GZ2014ZSF183)

摘　　要：目的:探讨喉癌术后1~3 d带气囊气切导管患者使用微量泵持续气道湿化的护理效果。方法:选取50例喉癌术后早期带气囊气切导管的患者,随机分为实验组和对照组,每组25例。实验组采用灭菌注射用水33 m L加5%碳酸氢钠17 m L,以每小时3~5 m L速度持续微量泵入气道湿化。对照组采用传统的气管内间断滴药湿化的方法。观察两组的护理效果。结果:实验组在预防导管堵塞、痰痂形成、痰液黏稠、刺激性咳嗽、下呼吸道感染方面的护理效果明显优于对照组,差异有统计学意义(P<0.01)。结论:灭菌注射用水33 m L加5%碳酸氢钠17 m L持续微量泵入气道湿化法效果好,防止带气囊气切导管堵塞而危及患者生命,降低痰痂形成发生率,降低刺激性咳嗽发生率和患者肺部感染发生率,保障患者安全,促进患者舒适和术后康复,缩短患者住院天数。Objective： To explore the best method of 1 - 3 days postoperative laryngeal cancer patients with tracheotomy using wet cutting catheter trace pump continuous airway. Methods： Postoperative laryngeal cancer patients with tracheotomy,50 cases were randomly divided into treatment group and control group. The treatment group were used the injection of sterile water33 mL with 5% sodium bicarbonate 17 mL,wetting cutting catheter trace pump continuous airway in 3 - 5mL speed per hour.The control group were used the continuous intratracheal medication,compared the clinical effects of two groups. Results： The treatment group was more effective than the control group in the prevention of catheter jam,sputum scab formation,ropy sputum,irritating cough,and lower respiratory tract infections（ P 〈0. 01）. Conclusion： Wetting cutting catheter trace pump continuous airway using the injection of sterile water 33 mL with 5% sodium bicarbonate 17 mL was better than using the traditional method. It is beneficial not only to reduce the incidence of catheter jam,sputum scab formation,irritating cough and pulmonary infection,but also to ensure the safety of patients,improve the recovery of the patients,cut down the duration of hospitalization.

关 键 词：喉癌术后 气囊导管 气道湿化 

分 类 号：R739.65[医药卫生—肿瘤]