气管切开术后患者持续滴注湿化气道加盐酸氨溴索雾化吸入的效果观察.pdfVIP

现代临床护理(Mooem Clinical 12) 23 气管切开术后患者持续摘注湿化气道加瞌酸氨澳索 雾化吸人的效果观察 焦其英 1，任远?青 2，杨E景梅 I (1 山东中院药大学第二附属医院呼吸内科，山东济南. 25仪旧1 ;2 烟台市中院医院1肖化科，山东烟台， 264∞0) [摘要] 目的 探讨气管切开术后患者气道应用持续滴注湿化加定时盐酸氨澳索雾化吸入法的临床疗效。方法 选择 2∞4 年 1 月- 2008 年 8 月本科寒 80 例气管切开术后患者，随机分为对照组和l实验组，每组各 40 例。对照组患者采用常规输液管持续满注给药混化气道 法，实验组夜输液管捋续滴注纷药混化气道的基础上定时给予裁酸氨澳索雾化吸入诱导排痰。比较两组患者治疗效果及并发肺部感染的情 况。结巢 实验组患者疗效明显优于对照细，肺部感染发生率明显低于对照组，两组比较，均 P 0.05 ，袭异具有统计学意义。结论 气管切 开术后患者气道应用持续滴注很化加定时盐酸氨澳索雾化吸入疗效明显优于单纯持续滴注混化气道法，值得临床推广应用。 [关键诩] 气管切开;气道湿化;盐酸氟澳索;望在化吸入 [中阁分类号] R473.5 [文献标识码] A [文直就编每] 1671-8283(2010)12翩∞23-{)3 [DOI] 10.3969/j.issn.1671-8283.2010.12.010 [Abstract] ObJective 10 investigate the clinical effect of regular inhalatiOn of aero朋lized amhroxol hydrochloride and aírway humidification by continuOus infusi On On patients undergoing tracheotomy. Methods In January 2ω4 -2008 August. 80 c嗣帽 undergoing tracheOtomy from our departn酬t of digestive dí制自制s were randOmired into control and experiment 锣Oup. ln the control group , contínuous infusion using routi附 tube for ai附ay humidification was applied and in the experiment 酬up re.阴阳 inhalatíon of aerosolized amhroxOl hyd阳hloride and aírway humidification by continuous infusion Wi础 appli创. The curative effects and pulmonruγinfections were observed and cOmpared between the two groups. R，酬Jlts The cJinical efficacy of the experiment group Wi剧创伊ificantly better than that of the control group (P 0.05). The rate pulmonary infections in the experiment 伊up W剧创伊ificantly lower than thal Of the ωnlrol 伊up (P 0.05). Conclusion For patients wi伽 tracheotomy , continuous infusion for aírway humidificatíon together with re.伊lar appliωtíon inhalation of aerosolized amhroxol hydrochloride ís more effective 由at that of conlinuous infusíon for aírway humídification alone. [Key words] tracheotomy; aírway humidification; amhroxol hydrochloride; aerosolized inhalation 气管切开是抢教危重患者、及时排烧、使患者呼吸道 保持畅通的震要措疗手段[1 1 0 假手术在解决了油气问题的 同时，又增加了细菌入侵途径，极易发生肺部感染等并发 症。实验证明[2] ，肺部感染随气体醒化程膛的下降雨升高; 另外，还可以使支气管甜膜上皮细胞纤毛运