气管切开患者拔管管理研究进展  

Research progress of extubation management in patients with tracheotomy

作　　者：李思敏[1,2] 吴姁怿 王娇 曾静茹 雷中杰 杜春萍 屈云[2,3] 魏全 何成奇[2,3] LI Simin;WU Xuyi;WANG Jiao;ZENG Jingru;LEI Zhongjie;DU Chunping;QU Yun;WEI Quan;HE Chengqi(Key Laboratory of Rehabilitation Medicine in Sichuan Province,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Rehabilitation Medicine,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Rehabilitation Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院康复医学中心/四川大学华西护理学院,成都610041 [2]康复医学四川省重点实验室,成都610041 [3]四川大学华西医院康复医学中心,成都610041

出　　处：《华西医学》2022年第5期783-787,共5页West China Medical Journal

摘　　要：气管切开是临床上抢救危急重症患者时常用的措施,其对患者的生存结局有着重要影响,拔管的时间直接影响患者的康复进程。该文对气管切开患者拔管管理的国内外研究进展进行综述,主要从多学科团队在气管切开管理中的作用、气管切开患者拔管的地点、气管切开患者拔管的条件、气管切开患者拔管后的伤口护理4个方面进行总结和阐述,以期为气管切开患者的拔管时机选择和拔管管理提供参考依据,提高拔管的成功率,改善患者的生活质量。Tracheotomy is a commonly used measure in clinical rescue of critically ill patients,and it has an important impact on the survival outcome of patients.The time of extubation directly affects the recovery process of the patient.This article reviews the research progress of extubation management of tracheotomy patients at home and abroad,and mainly summarizes and elaborates from four aspects,including the role of the multidisciplinary team in tracheostomy management,where tracheostomy patients are extubated,conditions for extubation in tracheotomy patients,and wound care after extubation in tracheotomy patients.The purpose is to provide a reference for the selection of extubation timing and extubation management for patients with tracheotomy,to improve the success rate of extubation and improve the quality of life of patients.

关 键 词：气管切开 多学科团队 拔管 伤口护理 

分 类 号：R473.6[医药卫生—护理学]