摘要
目的 寻求有效湿化气道的方法 ,以降低颅脑损伤气管切开术后呼吸道感染的发生率。方法 对颅脑损伤气管切开术后的 6 0名患者进行随机分组 ,比较滴药、雾化交替法和单纯滴药法湿化气道的效果。结果 滴药、雾化交替法每 2 4h所需湿化液的量约是单纯滴药法的 4 .5倍 ;前者PaO2 升高、体温控制、痰量减少、痰培养及胸片结果均显著优于后者。结论 颅脑损伤气管切开术后采用滴药、雾化交替法比单纯滴药法更有利于患者痰液的排出、提高血氧分压 。
Objective To seek a more effective tracheal humidifying technique so as to decrease the incidence of postoperative respiratory tract infection arising from tracheotomy in patients with craniocerebral injury. Methods 60 patients with craniocerebral injury who had tracheotomy were prospectively randomized into two groups:group 1 using the alternative dripping aerosol inhalation technique for drug administration and group 2 using the simple dripping technique.The outcomes were compared between the two groups. Results The amount of humidifying liquid required by the alternate dripping aerosol inhalation technique per 24 h was about 4.5 times that for the simple dripping technique. The dripping aerosol inhalation technique was superior to the simple dripping technique by virtue of elevated PaO 2, lower body temperature, less expectoration, sputum culture and outcome of chest radiology (P<0.001).Conclusions The alternate drug dripping aerosol inhalation technique has more advantages than the simple drug dripping technique for postoperative humidification for patients receiving tracheotomy for craniocerebral injury in that it prevented respiration tract infection more effectively.
出处
《解放军护理杂志》
2003年第11期7-8,共2页
Nursing Journal of Chinese People's Liberation Army
