气管切开术后气道湿化管理的研究进展  

Research Progress on airway humidification management after tracheotomy

作　　者：钟雪梅 吴淑菁 谢红英[2] ZHONG Xue-mei;WU Shu-jing;XIE Hong-ying(Post graduate student,Grade 2016;Post graduate student,Grade 2017;The First Affliated Hospital,Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医学院 [2]赣南医学院第一附属医院,江西赣州341000

出　　处：《赣南医学院学报》2018年第6期601-607,共7页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：气管切开是切开患者颈段气管,置入气管套管,以解决患者呼吸困难,建立呼吸通道的常用急救措施,气管切开术后破坏了人体正常呼吸道生理功能,未经温化、湿化的气体进入下呼吸道,导致呼吸道黏膜干燥,破坏纤毛运动,使得痰液黏稠不易咳出,加重呼吸困难和肺部感染的发生。因此,合理有效地对气道进行湿化是改善患者通气,预防和降低肺部感染的重要举措,本文就气道湿化方式、湿化液的选择及湿化效果评价方面作一综述。The tracheotomy,which needs to make an incision on the primary cervical trachea of the patients and insert the trachea cannula,is made to deal with the expiratory dyspnea of the patients and establish common first-aid measures of respiratory passage. Normal respiratory tract physiological function is broken after the tracheotomy; when the unheated and unhumidified gas getting across the lower respiratory tract,it will lead to dry airway mucosa and destroy ciliary motion,which makes the sputum sticky and difficult to cough up. Therefore,reasonable and effective humidification of airway is an important measure to improve ventilation、prevent and reduce pulmonary infection. In this paper,the way of humidification,the selection of airway humidification liquid and the evaluation of humidification effect are reviewed.

关 键 词：气管切开 气道湿化方式 气道湿化液 湿化效果 

分 类 号：R473.56[医药卫生—护理学]