面罩式喷雾瓶持续气道湿化在人工气道中的应用和研究.docVIP

精品论文 参考文献 面罩式喷雾瓶持续气道湿化在人工气道中的应用和研究 曹金凤 程晓霞 陈 超 　　南京医科大学附属江宁医院门诊-重症医学科 江苏南京 211100 【摘 要】目的：探讨使用面罩式喷雾瓶对人工气道患者进行持续气道湿化的效果。方法：选择我院ICU 2014年1月至2014年12月以来的44例人工气道患者，按随机数字表分入观察组和对照组各22例，观察组采用一次性使用面罩式喷雾瓶，在小药杯里持续加入配制的雾化液，据医嘱及痰液的黏稠度调节氧流量，达到24小时持续湿化气道的目的。对照组采取间断气道湿化，气管导管口覆盖无菌湿纱布，据医嘱q8h行雾化吸入，并比较两组患者气道湿化的效果。结果：面罩式喷雾瓶持续气道湿化效果明显优于间断气道湿化（P＜0.05）。患者痰液湿化良好，未发生痰痂，气道黏膜出血、刺激性咳嗽发生率明显降低。结论：面罩式喷雾瓶持续气道湿??能够保证吸入气体得到充分的湿化，减少患者气道水分的丢失，对改善和保持患者呼吸道通畅有明显效果。 　　【关键词】面罩式喷雾瓶；持续湿化；人工气道 　　【中图分类号】R156.3 【文献标识码】B 【文章编号】1764-8999（2015）7-0487-02 　　【Abstract】Objective：To explore the clinical effects of Continuous airway humidification with Faeial medical nebulizer in artificial airway.Methods：From Jan 2014 to Dec 2014,44 patients with artificial airway were randomly divided into study group (n=22) and control group (n=22).The study group received 24-hour continuous humidification by disposable faeial medical nebulizer and small medicine Cup with atomized liquid, according to medical advice and sputum viscosity regulating oxygen flow. While the control group only received continuously humidification (q8h), and the tracheal catheters were covered by wet sterile gauze.Then we compare the humidification effects of the two groups. Results：The clinical effects of continuous humidification were significantly better than those in control group(P＜0.05). The sputamentum of patients in study group were well-humidified, and no sputum scab was formative.Incidence of mucosal bleeding irritable cough decreased significantly.Conclusion： Continuous airway humidification with faeial medical nebulizer can ensure inspired gas full-humidified and reduce the loss of airway moisture.All of those can contribute to improve and maintain patientrsquo;s airway. 　　【Key Words】Faeial medical nebulizer；continuous humidification； artificial airway 　　人工气道的建立和应用使急危重症患者的抢救成功率大大提高，但由于人工气道使上呼吸道正常的湿化、加温、过滤及咳嗽功能消失，防御功能减弱[1]，容易在人工气道或上呼吸道内形成痰痂，对肺功能造成一定的损害或引起气道堵塞，肺部感染率随气道湿化程度的降低而升高[2]。充分湿化是保证有效的呼吸道分泌物引流，确保使用人工气道的病人气道通畅的重要措施[3]。我院IC