两种气道湿化对中重度吸入性损伤患者的效果比较

目的探讨两种气道湿化对大面积烧伤合并中重度吸入性损伤患者的临床效果。方法对60例中重度吸入性损伤患者随机分为对照组和观察组各30例。对照组行气管切开后常规间断气道湿化,观察组行气管切开后早期应用微量输注泵持续气道湿化,比较两组患者发生刺激性咳嗽、气道黏膜出血、痰痂形成及肺部感染情况。结果观察组痰痴形成、发生刺激性咳嗽、气道黏膜出血、肺部感染发生率均低于对照组,湿化效果优于对照组,两组比较差异具有统计学意义,(p<0.05)。结论大面积烧伤合并中重度吸入性损伤患者早期行微量输注泵持续气道湿化可以明显减少刺激性咳嗽、气道黏膜出血、痰痂形成、肺部感染发生率,湿化效果达到生理性需要,减少肺部并发症的发生,提高了患者的生存质量及人工呼吸道护理质量。

THE EFFECT OF TWO METHODS OF HUMIDITY THERAPY IN AIRWAY ON NURSING THE EXTENSIVE BURN ACCOMPANYING MODERATE AND SEVERE INHALATION INJURY PATIENTS

Objective To explore the clinical effect of two methods of humidity therapy in airway on nursing the extensive burn accompanying moderate and severe inhalation injury patients. Methods A total of 60 severe inhalation injury patients were randomly divided into control group and observation group, both group have 30 patients. Interrupted airway humidification was used in control group, and Micro infusion pump was adopted in observation group of patients after tracheotomy. Observe the occurrence of incentive cough, airway mucosa bleeding, phlegm scab and pulmonary infection, and compare the conditions of two groups. Results The rate of incentive cough, airway mucosa bleeding, phlegm scab and pulmonary infection in observation group was lower than that in control group, and its humidity therapy effect was better than control group, all with statistically significant difference（p 〈 0.05）. Conclusion Early use of Micro infusion pump would reduce the incidence rate of incentive cough, airway mucosa bleeding, phlegm scab and pulmonary infection on the extensive burn accompanying severe inhalation injury patients after tracheotomy. It will improve patients＇ quality of life and artificial respiration nursing.