油化一次性气管导管内壁防止导管堵塞的护理研究  

Nursing study on prevention of catheter blockage on inner wall of oil disposable endotracheal tube

作　　者：李蔓玲[1] 韦燕飞[1] 罗忠叁[1] 黄丽群[1] 黄玉凤 陆金银[1] 朱麦颖 刘慧贤[1] 苏星贵[1] 

机构地区：[1]广西百色市人民医院,533000

出　　处：《齐齐哈尔医学院学报》2017年第16期1978-1979,共2页Journal of Qiqihar Medical University

基　　金：2014百色市科学研究与技术开发计划第一批自筹经费项目(百科计20140502)

摘　　要：目的探讨防止一次性气管导管堵塞的方法,解决痰痂堵塞导管的护理难题。方法选择81例行气管切开术后留置一次性气管导管的患者,随机分为观察组和对照驵。对照组41例,按气管切开术后导管护理常规进行护理。观察组40例,行留置气管导管的护理常规后,使用液状石蜡对一次性气管导管内壁进行油化处理。结果观察组痰痂出现率7.3%,发生堵塞率2.4%。对照组痰痂出现率26.8%,发生堵塞率15%。两组患者在导管内壁出现痰痂和发生堵塞率比较,P<0.01,差异有显著统计学意义。结论将液状石蜡对留置的一次性气管导管内壁进行油化护理,可降低导管内壁痰痂附着率和导管堵塞的发生率。Objective To discuss the methods for preventing the block of disposable tracheal catheter and to solve the nursing problem of sputum scab blocking the catheter. Methods The control group（ 41 cases）received routine care after tracheotomy catheter care. The observation group（ 40 cases） received the endotracheal tube nursing routine. After using the liquid paraffin,the inner wall of the disposable trachea catheter was treated with oil. Results Observation group： the occurrence rate of sputum scab was 7. 3% and the block was 2. 4%.Control group： the occurrence rate of sputum scab was 26.8% and the block was 15%. P was less than 0.01 in the comparison,which had an obvious statistical significance. Conclusions Giving the inner wall of indwelling disposable tracheal catheter liquefied nursing with liquid paraffin can decline the adhesive rate of sputum scab and the occurrence rate of catheter block.

关 键 词：一次性气管导管 液状石蜡 油化 堵塞 

分 类 号：R768[医药卫生—耳鼻咽喉科]