机械加温加湿器与氧气雾化吸入湿化气道在人工气道中效果比较
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摘要
目的比较机械加温加湿器与氧气雾化吸入湿化气道在人工气道中的效果。方法选取2017年2月-2018年2月我院收治的建立人工气道时间超48 h的74例危重患者,将其随机分为对照组和研究组各37例,对照组采取氧气雾化吸入行气道深化,研究组采用机械加温加湿器的方式行气道湿化,比较2组患者的气道湿化效果。结果气道湿化后,研究组痰液黏稠度低于对照组(Z=-6.849,P<0.001);患者舒适率高于对照组(χ~2=9.784,P=0.002),痰细菌培养结果阳性率低于对照组(χ~2=6.618,P=0.010)。结论针对建立人工气道患者,利用机械加温加湿器行气道湿化的效果明显优于氧气雾化吸入。
Objective To compare the effect of mechanical humidifier and oxygen atomization inhalation humidification for artificial airways. Methods Totally 74 critical patients established the artificial airway for more than 48 hours in our hospital between February 2017 and February 2018 were selected, and randomly divided into a control group and a study group, each of 37. The control group was given the oxygen atomization inhalation, while the study group was moisturized the airway using the mechanical humidifier. The wetting effect was compared between two groups. Results The sputum viscosity and the positive rate of sputum bacteria culture after airway humidification of the study group were significantly lower than those of the control group(Z=-6.849, P<0.001;χ~2=6.618, P=0.010). Moreover, the comfort of the study group was significantly higher than the control group(χ~2=9.784, P=0.002). Conclusion For patients with artificial airway, the mechanical humidifying device is superior to the oxygen atomizing inhalation in humidifying the airway.
Objective To compare the effect of mechanical humidifier and oxygen atomization inhalation humidification for artificial airways. Methods Totally 74 critical patients established the artificial airway for more than 48 hours in our hospital between February 2017 and February 2018 were selected, and randomly divided into a control group and a study group, each of 37. The control group was given the oxygen atomization inhalation, while the study group was moisturized the airway using the mechanical humidifier. The wetting effect was compared between two groups. Results The sputum viscosity and the positive rate of sputum bacteria culture after airway humidification of the study group were significantly lower than those of the control group(Z=-6.849, P<0.001;χ~2=6.618, P=0.010). Moreover, the comfort of the study group was significantly higher than the control group(χ~2=9.784, P=0.002). Conclusion For patients with artificial airway, the mechanical humidifying device is superior to the oxygen atomizing inhalation in humidifying the airway.
引文
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[11] 李晓青,武家群,唐青青,等.程序化气道管理在人工气道病人护理管理中的应用[J].全科护理,2018,16(11):1358-1360.
[12] 梅彬彬,殷庆梅,王雯婷,等.不同吸痰深度对建立人工气道的成年患者吸痰效果系统评价[J].护理学报,2018,25(5):36-42.
[13] 罗春霞,刘妙秋,曾丽云,等.集束化护理在老年危重患者人工气道管理中的应用[J].护理实践与研究,2017,14(16):128-129.
[2] 姜曼,敖薪.人工气道管理标准的研究与应用现状[J].中华护理杂志,2016,51(12):1479-1482.
[3] 袁琴芳,郑洁,孙丹,等.气道管理小组在气道护理质量管理中的作用[J].护士进修杂志,2015,30(13):1195-1196.
[4] 王文超,张玉侠,顾莺,等.气管切开术后气道湿化的护理进展[J].护士进修杂志,2015,30(23):2145-2148.
[5] 李少莲,卢琼芳,邓海兰,等.高渗氯化钠溶液对建立人工气道患者进行诱导排痰的效果观察[J].护士进修杂志,2016,31(6):560-562.
[6] 夏倩.人工气道吸痰方法的研究进展[J].护士进修杂志,2015,30(9):783-786.
[7] 吴霞云.品管圈工作模式在ICU人工气道护理中的应用[J].护士进修杂志,2014,29(7):626-627.
[8] 孙龙凤,代冰,王爱平.不同气道湿化方法应用于气管切开患者的效果比较[J].中华护理杂志,2013,48(1):16-18.
[9] 宋维娜,宋桂芳,倪丽,等.建立人工气道机械通气患者的护理干预进展[J].中华护理杂志,2012,47(2):190-192.
[10] 郭亚洲,林蓓蕾.气管切开病人气道湿化护理方法的研究进展[J].全科护理,2018,16(12):1444-1446.
[11] 李晓青,武家群,唐青青,等.程序化气道管理在人工气道病人护理管理中的应用[J].全科护理,2018,16(11):1358-1360.
[12] 梅彬彬,殷庆梅,王雯婷,等.不同吸痰深度对建立人工气道的成年患者吸痰效果系统评价[J].护理学报,2018,25(5):36-42.
[13] 罗春霞,刘妙秋,曾丽云,等.集束化护理在老年危重患者人工气道管理中的应用[J].护理实践与研究,2017,14(16):128-129.