自制气道痰液稀释装置在人工气道吸痰中的应用  

作　　者：徐玲[1] 吴登助 王玲华[1] 

机构地区：[1]浙江省中西医结合医院(杭州市红十字会医院)

出　　处：《浙江临床医学》2023年第11期1705-1706,共2页Zhejiang Clinical Medical Journal

基　　金：浙江省中医药科技计划项目(2020ZB185);杭州市医药卫生科技项目(2018A14)。

摘　　要：目的探讨自制气道痰液稀释装置在带有人工气道的危重症患者黏稠痰液稀释及冲洗吸痰管中的应用效果。方法选取2021年4月至2021年11月带有人工气道的患者64例作为对照组,吸痰时使用传统的注射器抽吸0.9%氯化钠溶液通过密闭式吸痰管进行痰液稀释及吸痰管冲洗法;选取2021年12月至2022年7月带有人工气道的患者64例作为观察组,吸痰时使用0.9%氯化钠溶液袋连接自制气道痰液稀释装置通过密闭式吸痰管进行痰液稀释及冲洗吸痰管。比较两组吸痰操作漏水率及吸痰操作时间。结果观察组操作环境未发生漏水现象,对照组操作漏水率为34.38%。两组比较差异有统计学意义(P<0.05);观察组吸痰操作时间短于对照组,两组比较差异有统计学意义(P<0.05)。结论自制气道痰液稀释装置在人工气道吸痰操作中的应用可提高工作效率,避免吸痰操作时发生漏水现象符合无菌原则,降低患者感染的风险。Objective To investigate the application effect of self-made airway sputum dilution device in diluting viscous sputum and flushing sputum suction tube in critically ill patients with artificial airway.Methods 64 patients with artificial airway from April 2021 to November 2021 were selected as the control group.During sputum aspiration,0.9%sodium chloride solution was pumped with traditional syringe through the closed sputum aspiration tube for sputum dilution and sputum aspiration tube irrigation.Sixty-four patients with artificial airway from December 2021 to July 2022 were selected as the observation group.During sputum aspiration,0.9%sodium chloride solution bag was used to connect the self-made airway sputum dilution device through the closed sputum aspiration tube to dilute sputum and flush the sputum aspiration tube.The water leakage rate and the time of sputum aspiration operation were compared between the two groups.Results No water leakage occurred in the operating environment of the observation group,and the operating water leakage rate of the control group was 34.38%.The difference between the two groups was statistically significant(P<0.05).The operation time of sputum aspiration in the observation group was shorter than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion The application of self-made airway sputum dilution device in artificial airway sputum aspiration operation can improve work efficiency,avoid water leakage during sputum aspiration operation,and reduce the risk of infection of patients.

关 键 词：密闭式吸痰 人工气道 痰液稀释 效果 

分 类 号：R472[医药卫生—护理学]