气管切开术后患者气道应用持续滴注湿化加定时盐酸氨溴索雾化吸入法临床疗效.docVIP

气管切开术后患者气道应用持续滴注湿化加定时盐酸氨溴索雾化吸入法临床疗效 　　【摘要】 目的：观察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临床疗效。方法：选取2010年3月-2014年3月本院60例气管切开术后患者作为研究对象，使用随机数字列表将其分为研究组和对照组，每组各30例。对照组患者采用常规输液管持续滴注给药湿化气道法，研究组在对照组的基础上加用定时盐酸氨溴索雾化吸入法。观察和对比两组患者的临床疗效和并发症情况。结果：（1）1个疗程的治疗后，研究组显效23例，有效6例，无效1例，治疗的总有效率为96.67%；对照组显效7例，有效8例，无效15例，治疗的总有效率为50.00%，研究组患者治疗的总有效率明显高于对照组，比较差异有统计学意义（P0.05）。（2）1个疗程的治疗后，研究组患者有4例患者并发肺部感染，感染发生率为13.33%；对照组有22例患者发肺部感染，感染发生率为73.33%，研究组患者的并发症发生率明显低于对照组，比较差异有统计学意义（P0.05）。结论：气管切开术后患者气道应用持续滴注湿化加定时盐酸氨溴索雾化吸入进行治疗具有良好的临床疗效，值得在临床上进一步推广。 　　【关键词】 支气管； 气管切开； 持续湿化； 盐酸氨溴索； 雾化吸入 　　【Abstract】 Objective： To observe the clinical effect of the treatment for patients after tracheotomy by continuous drip wetting and regular ambroxol hydrochloride aerosol inhalation. Method： 60 patients who suffered from the tracheotomy and accepted treatment in our hospital from March 2010 to March 2014 were taken as the research objects， and these patients were randomly divided into study group and control group，30 patients in each group. In the control group， they were treated by routine continuous drip wetting of infusion tube， while in the study group， they were treated by regular ambroxol hydrochloride aerosol inhalation on the basis of that in the control group. Then， the clinical effect and the complication situations between the two groups were observed and compared. Result： （1） After one course of treatment， in the study group， 23 cases were markedly improved， 6 cases had effects， 1 case had no effects， and the whole effective rate was 96.67%. In the control group， 7 cases were markedly improved， 8 cases had effects， 15 cases had no effects， and the whole effective rate was 50.00%. According to the clinical treatment comparison between the two groups， the difference had statistical significance （P0.05）. （2） The occurrence rate of pulmonary infection in the study group was 13.33%， which was evidently lower than 73.33% of the control group and the difference had statistical significance （P0.05）. Conclusion： The clinica