摘要
目的探讨气管切开吸氧患者主动与被动人工气道湿化的效果差异。方法选取2014年2月至2015年9月我院重症监护室(GICU)收治的44例气管切开吸氧患者为研究组,选取同期我院神经外科ICU收治的39例气管切开吸氧患者为对照组,对照组采用被动人工气道湿化(持续微量泵入湿化液)护理,研究组采用主动人工气道湿化(雾化吸入器内加45%生理盐水)护理,连续护理3 d后比较两组患者气管切开处的湿化效果及并发症发生情况。结果研究组的湿化满意率为97.73%,显著高于对照组的76.92%;研究组的湿化过度率为0.00%,显著低于对照组的10.26%;差异均有统计学意义(P<0.05)。研究组的刺激性咳嗽、气道损伤、痰痂形成、肺部感染发生率分别为0.00%、0.00%、2.27%、2.27%,均显著低于对照组的15.38%、12.82%、15.38%、17.95%,差异均有统计学意义(P<0.05)。结论气管切开吸氧患者采用雾化主动湿化相对常规微量泵持续泵入被动湿化具有更显著的湿化效果,以及更低的并发症发生率。
Objective To compare the effects of active and passive artificial airway humidification for patients with tracheotomy for oxygen inhalation. Methods Forty-four cases of patients with tracheotomy for oxygen inhalation in general intensive care unit of our hospital from February 2014 to September 2015 were selected as the study group, and 39 cases of patients with tracheotomy for oxygen inhalation in neurosurgery ICU at the same period were selected as the control group. The control group received nursing of passive artificial airway humidification by continuous micro-infusion of moisture liquid, while the study group received nursing of active artificial airway humidification by adding 45% normal saline in atomizing inhalation. After 3 days of nursing, the humidification effect at the position of tracheotomy and incidence of complications were compared between two groups. Results The rate of satisfactory humidification of study group was 97.73%, significantly higher than 76.92% of control group, and the rate of excessive humidification of study group was 0.00%, significantly lower than 10.26% of control group （both P 〈0.05）. The incidences of irritating cough, airway injury, sputum formation and lung infection of study group were 0.00%, 0.00%, 2.27% and 2.27% respectively, significantly lower than 15.38%, 12.82%, 15.38% and 17.95% of control group, respectively （P 〈0.05）. Conclusions Active artificial airway humidification for patients with tracheotomy for oxygen inhalation has better humidification efficacy and lower incidence of complications than passive artificial airway humidification.
出处
《临床医学工程》
2016年第5期661-662,共2页
Clinical Medicine & Engineering
基金
惠州市科技计划项目(项目编号:20150801)
关键词
气管切开
吸氧
主动湿化
被动湿化
Tracheotomy
Oxygen inhalation
Active humidification
Passive humidification
