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气管切开患者术后两种不同人工气道湿化方法的临床观察 被引量:7

Clinical Effect Observation of Two Different Methods of Artificial Airway Humidification in Tracheotomy Patients
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摘要 目的探讨持续氧动雾化与微泵滴注0.45%氯化钠溶液对神经外科气管切开患者的气道湿化效果。方法将72例气管切开患者随机分为A组和B组,每组各36例,两组均采用0.45%氯化钠溶液作为气道湿化液,A组采用持续氧动雾化吸入湿化法,B组采用持续微量注射泵滴注气道湿化法。观察两种湿化方法湿化效果,以及出现气道黏膜出血、痰痂形成、刺激性咳嗽、肺部感染等不良反应发生率。结果持续氧动雾化吸入湿化法湿化效果显著,患者不良反应发生率明显低于持续微量注射泵滴注气道湿化法。结论在人工气道护理当中,采用持续氧动雾化吸入湿化法优于持续微量注射泵滴注气道湿化法,从而为临床推广应用提供科学依据。 Objective To explore the humidifying effects of continuous oxygen atomization and micro pump injection of O. 45% sodium chloride on tracheotomy airway of neurosurgery patients. Methods 72 patients with tracheotomy were randomly divided into group A and group B, 36 cases in each group, both groups receiving 0.45 % sodium chloride solution as humidifying liquid. Group A was treated with continuous oxygen atomization inhalation, while Group B was treated with continuous pumping trace injection into airway . The next step was to observe the effects of the two methods and the occurrence rate of side effects such as airway mucosa blooding, sputum scab formation, irritating cough, and lung infection. Results The wetting effect of the former method was remarkable, side - effects of which were significantly fewer than those of the latter method. Conclusion In the nursing of artificial airway, the method, continuous oxygen atomization inhalation, proves to possess the advantage, thereby providing scientific basis for clinical application.
作者 仪宁 金婷
出处 《辽宁医学院学报》 CAS 2015年第3期88-90,共3页 Journal of Liaoning Medical University (LNMU) Bimonthly
关键词 气管切开 雾化吸入 效果观察 tracheotomy atomization inhalation observation of effects
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