预装水氧气雾化吸入装置与热湿交换器(人工鼻)的比较研究.docxVIP

预装水氧气雾化吸入装置与热湿交换器(人工鼻)的比较研究 　　[摘要] 目的 探讨预装水氧气雾化吸入装置与热湿交换器2种湿化方式的应用效果。方法 方便选取XX年1月―XX年8月溧阳市人民医院入住ICU的60例气管切开患者为研究对象，依据进入ICU病房前后顺序随机分为实验组和对照组。观察两组湿化后痰液粘稠度，评价湿化效果，统计肺部感染率。结果 实验组湿化12 h后II～III度痰液患者少于对照组，湿化满意度高于对照组，湿化1周后肺部感染率低于对照组，差异有统计学意义。结论 预装水氧气雾化吸入装置可使吸入气体充分湿化，能有效减少呼吸道水分丢失，对保证呼吸通畅、降低感染等并发症具有积极作用，值得推广使用。　　[关键词] 气管切开；气道湿化；预装水氧气雾化吸入；人工鼻　　[中图分类号] R45 [文献标识码] A [文章编号] 1674--0111-03　　Comparative Study on Preassembled Water Oxygen Atomization Inhalation Device and Heat-moisture Exchanger　　JIANG Lan-ying， HUANG Xiu-li， QIAN Hong-juan， SHI Mei　　ICU， Liyang People’s Hospital， Liyang， Jiangsu Province， China　　[Abstract] Objective This paper tries to investigate the effect of two humidifying methods of pre installed water oxygen atomizing inhalation device and heat wet exchanger . Methods 60 cases of tracheal from January XX to August XX in this hospital were convenient selected as the research objects， based on their admission， they were randomly divided into experimental group and control group . The sputum viscosity of two groups was observed， the effect of humidification was evaluated， and the rate of lung infection was counted. Results 12h after II-III of wet sputum of patients in the experimental group was ， lower than in the control group of ， humidification satisfaction higher than that of the control group ， 1 weeks after the wet lung infection rate lower than in the control group， the difference was statistically significant . Conclusion The pre-installed water oxygen atomizing inhalation device can make the inhaled gas fully humidified， and can effectively reduce the respiratory tract water loss， and has a positive effect on ensuring respiratory patency and reducing infection and other complications， and is worth popularizing.　　[Key words] Tracheotomy； Airway humidification； Pre-installed oxygen atomization inhalation； Artificial nose　　?夤芮锌?术可较好的解除下呼吸道分泌物潴留、呼吸机能失常等因素所致呼吸困难，是临床治疗重症患者的重要措施[1]。但是，气管切开会破坏上呼吸道对吸入气体的加温、湿化及滤过作用，使气道水分流失，引起粘膜干燥、排痰不畅甚至导致气道堵塞、肺不张和肺部感