使用人工鼻联合持续气道湿化技术湿化液量的临床研究定稿.docVIP

使用人工鼻联合持续气道湿化技术湿化液量探讨 陈立萍 宗永忠 李青荷 林娟 孙兰 （东南大学医学院附属盐城医院 江苏 盐城 224001） 【摘要】目的 探讨不同气道湿化量对使用人工鼻联合持续气道湿化技术机械通气患者的影响。方法 将我院重症医学科80例使用人工鼻联合持续气道湿化技术的机械通气患者随机分为两组，其中观察组40例通过评估病人痰液情况随时调整湿化量，痰液粘稠度Ⅰ度以2-4ml/h、Ⅱ度以4-6 ml/h、Ⅲ度以6-8ml/h的速率泵入；对照组40例直接以2ml/h的速率泵入湿化，对两组患者的湿化效果、气道黏膜出血、痰痂形成情况、刺激性咳嗽、呼吸机相关性肺炎（VAP）的发生率、导管更换频次、平均每例每天吸痰次数进行对比。结果 观察组湿化效果好，气道粘膜出血、痰痂形成情况、导管更换频次、平均每例每天吸痰次数少，刺激性咳嗽、呼吸机相关性肺炎的发生率低，差异有统计学意义（P＜0.05）。结论 机械通气患者采用人工鼻联合持续气道湿化技术，通过评估痰液粘稠度及时调整湿化量,保证了人工气道的湿化效果，有利于预防相关并发症的发生，有效地降低了医院感染发生率,同时也减轻了患者痛苦，缩短了住院时间，减少了护理工作量，大大提高了医疗护理质量，值得临床应用推广。 【关键词】机械通气；人工鼻；联合；气道湿化；湿化量；临床研究 【中图分类号】R473.5 【文献标识码】B 【文章编号】 Study of the humidification fluid volume by artificial nose combined continuous airway humidification CHEN Li-ping, ZONG Yong-zhong*, LI Qing-he, LIN Juan, SUN Lan. (The Third People’s Hospital of Yancheng, Yan cheng, Jiangsu 224001, China) [ Abstract ] Objective To explore different airway humidification quantity on the use of artificial combined nasal continuous airway humidification technology in patients with mechanical ventilation effect. Methods 80 cases of the use of artificial combined nasal continuous airway humidification techniques of mechanical ventilation were randomly divided into two groups. According to the patients sputum viscosity adjustment humidification quantity, The humidification fluid of 2-4ml / h,4-6ml / h and 6-8ml / h were given in the observation group 40cases. The humidification fluid of 2ml / h rate was given directly in control group . comparative analysis of two groups of humidification, airway mucosal bleeding, the phlegm scab formation, irritating cough, ventilator-associated pneumonia ( VAP ), the incidence of catheter replacement frequency, average every day the number of cases of sputum suction. Results the observation group humidification effect is good, the airway mucosal bleeding, the phlegm scab formation, catheter replacement frequency and reduce the number of sputum suction, irritating cough, ventilator-associated pneumonia inc