微粒加湿法在气管切开非机械性通气患者气道湿化中的临床效果  

Clinical effect of microparticle humidification on airway humidification in non-mechanical tracheotomy patients

作　　者：王凤珍[1] 钟雪梅 张宇皓 叶婷 刘华之[1] WANG Feng-zhen;ZHONG Xue-mei;ZHANG Yu-hao;YE Ting;LIU Hua-zhi(Cardiac ICU,First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou 341000,China;Gannan Polytechnic,Jiangxi Province,Ganzhou341000,China;College of Nursing,Gannan Medical University,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院心脏ICU,江西赣州341000 [2]赣南职业技术学院,江西赣州341000 [3]赣南医学院护理学院,江西赣州341000

出　　处：《中国当代医药》2021年第15期52-55,59,共5页China Modern Medicine

基　　金：江西省卫生计生委科技计划课题(20185355);赣南医学院校级课题资助项目(2D201829)。

摘　　要：目的探讨微粒加湿法在气管切开非机械性通气患者气道湿化中的临床效果。方法选取2018年1月~2020年2月赣南医学院第一附属医院重症医学科收治的66例气管切开非机械性通气患者作为研究对象。采用随机数字表法将其分为实验组(33例)和对照组(33例)。实验组采用微粒加湿法,对照组患者采用传统持续气道滴入法。比较两组患者的痰液pH值、吸痰次数、血氧饱和度(SpO2)值、湿化软管脱落次数、单次湿化装置护理时间和湿化装置费用。结果实验组患者的痰液pH值在干预后第3、4、5、6、7天高于对照组,差异有统计学意义(P<0.05);实验组患者的吸痰次数在干预后第3、4、5、7天低于对照组,差异有统计学差异(P<0.05);实验组患者的SpO2值在干预后第3、4、5、6、7天高于对照组,差异有统计学意义(P<0.001);实验组湿化软管脱落次数少于对照组,单次湿化装置护理时间短于对照组,湿化装置护理费用低于对照组,差异有统计学意义(P<0.001)。结论微粒加湿法有利于提高痰液pH和SpO2值、减少吸痰的次数、单次湿化装置护理时间和湿化装置费用,能减轻护理工作量、减少患者住院费用开支。Objective To explore the clinical effect of microparticle humidification in airway humidification of non-mechanical tracheotomy patients.Methods From January 2018 to February 2020,66 patients with tracheotomy and non mechanical ventilation in the Department of critical care medicine of the First Affiliated Hospital of Gannan Medical College were selected as the research objects.They were divided into experimental(n=33)and control(n=33)groups using the random number table method.The microparticle humidification method was used in the experimental group,while the conventional continuous airway instillation method was used in the control patients.Sputum pH,number of suctioning attempts,blood oxygen saturation(SpO2)value,number of dislodgements of the humidified hose,time spent on a single wet device and cost of the humidification device were compared between the two groups.Results The sputum pH value of patients in the experimental group was higher than that in the control group on the 3rd,4th,5th,6th and 7th day after intervention,and the differences were statistically significant(P<0.05).The sputum suction times of patients in the experimental group were lower than those in the control group on the 3rd,4th,5th and 7th day after intervention,and the differences were statistically significant(P<0.05).The SpO2 value of the experimental group was significantly higher than that of the control group on the 3rd,4th,5th,6th and 7th day after intervention,and the differences were statistically significant(P<0.001).The times of wetting hose falling off in the experimental group was less than that of control group,the nursing time of single wetting device was shorter than that of control group and the nursing cost of wetting device were lower than those in the control group,and the differences were statistically significant(P<0.001).Conclusion The microparticle plus wet method was conducive to improving the pH and SpO2 value of sputum,reducing the number of sputum aspiration,the nursing time of a single humidification device

关 键 词：微粒加湿法 气管切开 气道湿化 非机械性通气 

分 类 号：R473.6[医药卫生—护理学]