人工鼻在咽喉部恶性肿瘤气管切开患者气道管理中的应用效果  

Application Effect of Artificial Nose in Airway Management of Patients with Laryngopharyngeal Malignant Tumors Undergoing Tracheotomy

作　　者：钟泳言 黄玉英[1] 李湘[1] 梁有琼[1] ZHONG Yongyan;HUANG Yuying;LI Xiang;LIANG Youqiong(The People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China;不详)

机构地区：[1]广西壮族自治区人民医院,广西南宁530021

出　　处：《中外医学研究》2024年第20期99-102,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题项目(Z20210618)。

摘　　要：目的:探讨人工鼻在咽喉部恶性肿瘤气管切开患者气道管理中的应用效果。方法:回顾性选取2022年7月—2023年9月广西壮族自治区人民医院耳鼻咽喉头颈科收治的83例咽喉部恶性肿瘤气管切开患者。对照组给予传统气管切开气道管理,试验组在对照组基础上给予人工鼻气管切开气道管理。比较两组痰液黏稠度,痰痂堵塞气道发生率,血氧饱和度,痰细菌培养阳性率,肺部感染发生率。结果:试验组痰液黏稠度优于对照组,差异有统计学意义(P<0.05)。试验组痰痂堵塞气道发生率低于对照组,差异有统计学意义(P<0.05)。试验组早上、中午、晚上血氧饱和度均高于对照组,差异有统计学意义(P<0.05)。气管切开后第15天,试验组痰细菌培养阳性率均低于对照组,差异有统计学意义(P<0.05)。试验组肺部感染发生率低于对照组高,差异有统计学意义(P<0.05)。结论:人工鼻更符合人体生理的气道加温湿化、过滤方法,在一定程度上能改善气管切开患者的护理效果,降低肺部感染发生率。Objective:To explore the application effect of artificial nose in airway management of patients with laryngopharyngeal malignant tumors undergoing tracheotomy.Method:A total of 83 patients with laryngeal malignancy undergoing tracheotomy admitted to the Department of Otolaryngology and Head and Neck,the People's Hospital of Guangxi Zhuang Autonomous Region from July 2022 to September 2023 were retrospectively selected.The control group was given traditional tracheotomy airway management,and the experimental group was given artificial nose tracheotomy airway management based on the control group.The sputum viscosity,the incidence of sputum scab blocking airway,blood oxygen saturation,the positive rate of sputum bacteria culture and the incidence of pulmonary infection were compared between the two groups.Result:The sputum viscosity of experimental group was better than that of control group,and the difference was statistically significant(P<0.05).The incidence of airway obstruction by phlegm scab in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).The blood oxygen saturation of experimental group in the morning,noon and evening was higher than that of control group,and the differences were statistically significant(P<0.05).On the 15th day after tracheotomy,the positive rates of sputum bacteria culture in experimental group were lower than those in control group,and the differences were statistically significant(P<0.05).The incidence of pulmonary infection in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:Artificial nose is more in line with human physiological airway heating and humidification and filtration methods,which can improve the nursing effect of patients with tracheotomy to a certain extent and reduce the incidence of lung infection.

关 键 词：人工鼻 咽喉部恶性肿瘤 气管切开 气道管理 

分 类 号：R473.73[医药卫生—护理学]