气管切开气道湿化患者湿化量的研究

    Research on the effects of different airway humidification on patients receiving tracheotomy

    • 摘要: 目的:比较气管切开不同气道湿化量对患者的影响。方法:将40例气管切开患者随机分为两组,每组各20例,分别采用常规湿化量(对照组)和先评估痰液性质后给予相应的湿化量(观察组)进行持续气道湿化,比较两组患者湿化效果。结果:观察组湿化效果优于对照组(P<0.01),观察组刺激性咳嗽及气道黏膜出血的发生率低于对照组(P<0.01~P<0.05),观察组平均每例每天吸痰次数少于对照组(P<0.01)。结论:先评估痰液性质后给予相应的湿化量合理、安全,且可减少吸痰次数,减轻护理工作量。

       

      Abstract: Objective: To compare the effects of different humidification on patients receiving tracheotomy.Methods: Forty patients receiving tracheotomy were randomly divided into two groups,20 patients in each.The control group were given conventional humidification,and the experimental group were administered necessary humidification after evaluation of the sputamentum.The outcome was compared between the two groups.Results: The effects of the experiment group were superior to that of the control (P<0.01).The occurrence of irritating coughs and mucous membrane hemorrhages in the experimental group were lower than that in the normal control (P<0.05 to P<0.01).The times of aspiration of sputum in the experimental group were less than those of the normal control (P<0.01).Conclusions: It is reasonable and safe to administer humidification volume after evaluation of the sputamentum,which may decrease the times of aspiration of sputum and lighten the nurses' workload.

       

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