微泵持续湿化法对气管切开患者的护理效果.docVIP

微泵持续湿化法对气管切开患者的护理效果 　　【摘要】 目的：观察微泵持续湿化法对气管切开患者的护理效果。方法：70例行气管切开术的患者随机分为微泵组和对照组。微泵组患者使用微泵持续注射无菌生理盐水湿化气道，对照组患者则使用间歇法湿化气道。记录两组患者术后3 d的痰液黏稠度，记录两组患者导管堵塞发生率和肺部感染发生率。结果：微泵组痰液黏稠度为Ⅰ度和Ⅱ度的患者比对照组的患者多，微泵组痰液黏稠度为Ⅲ度的患者则比对照组的患者少；微泵组患者导管堵塞发生率明显低于对照组；微泵组肺部感染发生率也比对照组低，差异均有统计学意义（P0.05）。结论：微泵持续湿化法对气管切开患者的护理效果优于传统间歇气道湿化法。 　　【关键词】 微泵持续气道湿化； 间歇气道湿化； 气管切开 　　中图分类号 R473.6 文献标识码 B 文章编号 1674-6805（2014）24-0075-02 　　Nursing Effect of Micropump Continuous Airway Moist on the Patients Underwent Tracheotomy/CHEN Liu-zhen，LIANG Jin-xiao，YOU Li-ying，et al.//Chinese and Foreign Medical Research，2014，12（24）：75-76 　　【Abstract】 Objective：To observe the nursing effect of micropump continuous airway moist on the patients underwent tracheotomy.Method：70 patients underwent tracheotomy were randomly divided into two groups，Micropump group and Control group.In the Micropump group，micropump continuous airway moist was carried out for the patients.In the Control group，intermittent airway moist was carried out for the patients.The sputum stickiness of 3 day after tracheotomy were recorded in both groups.The incidence of catheter obstruction and lung infection were recorded in both groups.Result：The patients with the sputum stickiness of Ⅰ and Ⅱ degree in Micropump group was more than those in Control group.The patients with the sputum stickiness of Ⅲ degree in Micropump group was less than those in Control group.The incidence of catheter obstruction and lung infection in Micropump group were lower than it in Control group，the differences all were statistical significance（P0.05）.Conclusion：Micropump continuous airway moist is superior to intermittent airway moist for nursing the patients underwent tracheotomy. 　　【Key words】 Micropump continuous airway moist； Intermittent airway moist； Tracheotomy 　　First-author’s address：Dongguan Liaobu Hospital，Dongguan 523400，China 　　神经外科患者因神经系统损伤常出现神志不清、舌后坠、咳嗽反射差、误吸等异常情况，这样可影响患者的呼吸功能。为了保证这类患者的安全，常需实施气管切开术[1]。但是气管切开后，患者上呼吸道对吸入气体加湿化、保温、过滤和清洁功能丢失了[2]。患者可因痰液结痂或异物堵塞气道，引起窒息