喉癌患者术后早期不同气道湿化方式的湿化效果比较  

Comparison on Humidification Effect of Different Airway Humidification Ways in Early Postoperative Laryngeal Cancer Patients

作　　者：苏莹[1] 刘丽莎[2] 刘莉[1] 陈立娥[1] Su Ying;Liu Lisha;Liu Li(The Affiliated Hospital of Binzhou Medical College,Binzhou Shandong 256600,China)

机构地区：[1]滨州医学院附属医院,山东滨州256600 [2]济南市中心医院

出　　处：《齐鲁护理杂志》2021年第10期11-14,共4页Journal of Qilu Nursing

基　　金：山东省医药卫生科技发展计划项目(编号:2017WSB30057)。

摘　　要：目的:探讨间歇雾化吸入、自控镇痛泵持续气管内滴入及人工鼻三种气道湿化方式在喉癌患者术后早期气道湿化中的应用效果,为规范喉癌患者术后早期气道管理提供依据。方法:将2018年1月1日~2020年1月31日120例行喉切除术的喉癌患者随机分为三组各40例,分别采取间歇雾化吸入、自控镇痛泵持续气管内滴入及人工鼻进行气道湿化。比较三组术后1周气道湿化效果、日吸痰次数、气道并发症及舒适度情况。结果:间歇雾化吸入组舒适度高于其他两组(P<0.05),间歇雾化吸入组和自控镇痛泵持续气管内滴入组的日吸痰次数少于人工鼻组(P<0.05),三组气道并发症发生率比较差异无统计学意义(P>0.05)。结论:喉癌术后早期采用间歇雾化吸入能够达到气道湿化满意状态,减少刺激性咳嗽及痰痂的发生,提高患者舒适度。Objective:To explore the application effect of three airway humidification ways such as intermittent atomization inhalation,continuous endotracheal drip of self-control analgesia pump and artificial nose in early postoperative laryngeal cancer patients,so as to provide the basis for the airway management of early postoperative laryngeal cancer patients.Methods:During January 1,2018 to January 31,2020,120 patients with laryngeal cancer who underwent laryngectomy were randomly divided into three groups with 40 cases in each group,respectively adopted the intermittent atomization inhalation,self-control analgesia pump continuous endotracheal drip and artificial nose for airway humidification.Comparison was made among the three groups on postoperative 1 week airway humidification effect,daily sputum suctions,airway complications and patient comfort.Results:The comfort level in the intermittent atomization inhalation group is higher than that in the other two groups(P<0.05),the daily sputum suctions in the intermittent atomization inhalation group and self-control analgesia pump continuous endotracheal drip group were less than those in the artificial nose group(P<0.05),in three groups of airway complications there were no significant differences in airway complications among the three airway groups(P>0.05).Conclusion:The application of intermittent atomization inhalation in early postoperative laryngeal cancer patients can achieve airway humidification state of satisfaction,reduce the occurrence of irritating cough and sputum scab,and improve patient comfort.

关 键 词：喉癌 喉切除术 气管切开 湿化方式 湿化效果 

分 类 号：R473.73[医药卫生—护理学]