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作 者:张莉[1] 尹志勤 刘俏俊[1] Zhang Li(Yiwu Central Hospital,Yiwu 32200)
机构地区:[1]义乌市中心医院,义乌322000 [2]温州医科大学护理学院
出 处:《数理医药学杂志》2018年第7期1074-1075,共2页Journal of Mathematical Medicine
摘 要:目的:探讨气管插管专用雾化器对气管插管患者气道湿化的效果。方法:将80例患者随机分成观察组和对照组,观察组采用气管插管专用雾化器对气道进行持续湿化,对照组用5ml注射器滴药传统的湿化方法,观察两组痰液黏稠度、痰痂形成、痰痂阻管程度、肺部感染情况。结果:气管插管72h后两组Ⅰ~Ⅲ度痰液黏稠度比较差异有统计学意义(P<0.05);拔管后观察痰痂形成、痰痂阻管程度比较差异有统计学意义(P<0.05),且肺部感染发生率比较差异具有统计学意义(P<0.05)。结论:采用气管插管专用雾化器对气道进行持续湿化可有效稀释痰液、减少痰痂形成,降低气管插管的堵管率,提高湿化效果,降低肺部感染的发生率。Objective:To investigate the effect of tracheal intubation atomizer on airway humidification in patients with tracheal intubation.Methods:80 patients were randomly divided into the observation group and the control group.The observation group received continuous humidification with special atomizer,and the control group was treated with traditional humidification of 5 ml syringe dripping medicine.The viscosity of sputum,the formation of sputum scab,the degree of obstruction of sputum and pulmonary infection in the two groups were observed.Results:After 72 hours of tracheal intubation,there was significant difference in the viscosity ofⅠ~Ⅲ degree sputum between the two groups(P〈0.05).After the extubation,there was a statistically significant difference in the sputum scab formation and sputum eschar obstruction between the two groups(P〈0.05),and the difference in the incidence of pulmonary infection was statistically significant(P〈0.05).Conclusion:Continuous tracheal humidification with special atomizer can effectively dilute sputum,reduce sputum scab formation,reduce tracheal intubation blocking rate,improve humidification effect and reduce the incidence of pulmonary infection.
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