神经重症患者脱机后不同气道湿化方法的效果研究  

Effects of Different Airway Humidification Methods in Patients with Severe Neuropathy After Weaning

作　　者：范旭莉 陈秋婉 朱小燕 傅娟 Fan Xu-li;Chen Qiu-wan;Zhu Xiao-yan;Fu Juan(Department of Rehabilitation Medicine,Jinhua Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Chinese Medicine,Jinhua 321017,Zhejiang Province,China;Nursing Department,Jinhua Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Chinese Medicine,Jinhua 321017,Zhejiang Province,China)

机构地区：[1]浙江中医药大学附属金华中医院康复医学科,浙江金华321017 [2]浙江中医药大学附属金华中医院护理部,浙江金华321017

出　　处：《中国社区医师》2022年第26期49-51,共3页Chinese Community Doctors

基　　金：浙江省金华市科学技术局公益类项目(编号:2019-4-056)。

摘　　要：目的:探讨神经重症患者脱机后不同气道湿化方法的效果。方法:选取2018年5月-2022年1月金华市中医医院收治的80例神经重症患者作为研究对象,采用信封法随机分为观察组和对照组,各40例。两组患者均接受普通治疗与吸痰治疗,对照组在此基础上采用微泵持续气道内滴注湿化治疗,观察组采用恒温湿化器进行2 h间歇湿化治疗。比较两组湿化良好率及并发症发生情况。结果:观察组湿化良好率高于对照组,差异有统计学意义(P<0.05)。观察组痰痂形成、气道黏膜出血、刺激性咳嗽及肺部感染发生率均低于对照组,差异有统计学意义(P<0.05)。结论:恒温湿化器2 h间歇湿化在神经重症脱机患者中的治疗效果显著优于持续气道内滴注湿化治疗,可提高湿化效果,控制并发症发生,是理想的湿化方式。Objective: To investigate the effects of different airway humidification methods in patients with severe neuropathy after weaning. Methods: Eighty patients with severe neuropathy who were admitted to Jinhua Hospital of Traditional Chinese Medicine from May 2018 to January 2022 were selected as the research subjects. The patients were randomly divided into the observation group and the control group by the envelop method, with 40 cases in each group. All patients received general treatment and sputum aspiration. On this basis, the control group was given continuous airway humidification by micro-pump, while the observation group was given 2-hour intermittent humidification by constant temperature humidifier. The excellent and good rate of humidification, and the incidence of complications were compared between the two groups. Results: The excellent and good rate of humidification in the observation group was higher than that in the control group, and the difference was statistically significant(P<0.05). The incidence rates of sputum scab formation, airway mucosal hemorrhage, irritable cough and pulmonary infection in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05).Conclusion: The effect of 2 h of intermittent humidification with constant temperature humidifier is significantly better than that of continuous airway humidification in patients with severe neuropathy after weaning, which can improve the humidification effect and control the occurrence of complications. It is an ideal humidification method.

关 键 词：神经重症 脱机 持续气道内滴注湿化 

分 类 号：R741[医药卫生—神经病学与精神病学]