气管切开病人高压氧治疗中气囊管理与院内感染相关性研究  

Study on the Correlation between Airbag Management and Nosocomial Infection in Hyperbaric Oxygen Therapy for Tracheotomy Patients

作　　者：李海香[1] 何中华[1] 刘淑霞[1] 熊凤霞 王霞[1] 汤海丽[1] LI Hai-xiang;HE Zhong-hua;LIU Shu-xia;XIONG Feng-xia;WANG Xia;TANG Hai-li(People's Hospital of Gaoming District,Foshan City,528500)

机构地区：[1]广东省佛山市高明区人民医院

出　　处：《临床护理杂志》2019年第3期14-16,共3页Journal of Clinical Nursing

基　　金：佛山市医学类科技攻关项目(201308331)

摘　　要：目的 探讨气管切开病人高压氧治疗中气囊管理与院内感染的相关性。方法 选取2016年12月~2018年12月我院收治的病人120例,按入院顺序奇偶数分为改良气囊管理组和传统气囊管理组,各60例。传统气囊管理组病人在进入舱内进行高压氧治疗前,采用气切套管下吸痰,由护士尽量清除残留在气囊上的呼吸道分泌物。不进行气囊内空气量的改变;改良气囊管理组病人在进入舱内进行高压氧治疗前,采用气切套管下吸痰,由护士尽量清除残留在气囊上的呼吸道分泌物,并用干燥的注射器向气囊内充入3~5ml空气,结束高压氧治疗离开舱内后,用干燥的注射器自气囊内抽取3~5ml空气。比较两组医院获得性肺炎发生率,住院天数,治疗费用,高压氧前后吸痰间隔时间,痰液量,血氧饱和度。结果 改良气囊管理组医院获得性肺炎发生率显著低于传统气囊管理组,住院天数、治疗费用少于传统气囊管理组(P<0.05)。改良气囊管理组吸痰间隔时间显著长于传统气囊管理组,平均痰液量显著少于传统气囊管理组(P<0.05)。两组血氧饱和度比较差异无统计学意义(P>0.05)。结论 优化气囊管理方式能有效降气管切开病人高压氧治疗后医院获得性肺炎发生率,减少相关并发症。Objective To explore the effect of changing the management of airbag on reducing nosocomial infection in patients with tracheotomy treated with hyperbaric oxygen. Methods 120 inpatients admitted to hospital between December 2016 and December 2018 were included. According to the order of odd and even numbers of admission, the patients were respectively classified into the improved airbag management group and the traditional airbag management group, with 60 cases in each group. Before hyperbaric oxygen treatment in the traditional airbag management group, sputum was sucked under the airway incision cannula, and the residual respiratory tract secretions on the airbag were cleared by nurses as far as possible. There was no change in the air volume in the balloon;the patients in the improved balloon management group were treated with hyperbaric oxygen before entering the cabin. The sputum was sucked under the aircut cannula. The nurses tried to remove the stagnant airway secretions remaining in the balloon and filled the balloon with 3ml-5ml air with a dry syringe. After the patients left the cabin after the end of hyperbaric oxygen treatment, the patients were sucked out 3ml-5ml air from the balloon with a dry syringe. The incidence of hospital acquired pneumonia, average hospitalization days, average treatment cost, sputum aspiration interval before and after hyperbaric oxygen treatment, average sputum volume and oxygen saturation were compared between the two groups. Results The incidence of hospital acquired pneumonia in the improved balloon management group was significantly lower than that in the traditional balloon management group, and the average hospitalization days and treatment costs were less than those in the traditional balloon management group (P<0.05). There was no significant difference in sputum suction interval time, average sputum volume and oxygen saturation between the two groups before hyperbaric oxygen treatment. After hyperbaric oxygen treatment, the sputum suction interval time was significa

关 键 词：气管切开 高压氧 气囊管理 院内感染 

分 类 号：R653[医药卫生—外科学] R459.6[医药卫生—临床医学]