简便式可重复使用的人工气道帽在人工气道患者管理中的应用效果

目的:探讨简便式可重复使用的人工气道帽在人工气道患者管理中的应用的效果。方法:选取义乌市中心医院气管切开的患者,实验组患者在气切口套上简便式可重复使用气道帽,对照组患者则采用敞开式的管理。分别比较2组痰液粘稠度、痰痂形成例数、肺部感染发生率,气道黏膜损伤率、氧疗后呼吸频率、氧分压(PaO2)、血氧饱和度(SpO2)。结果:实验组在痰液粘稠度、痰痂形成例数、肺部感染发生率,气道黏膜损伤率低于对照组,2组对比差异具有统计学意义(P<0.05),而氧疗后实验组呼吸频率、PaO2、SpO2显著高于对照组(P<0.05)。结论:简便式可重复使用的人工气道帽对于建立人工气道患者可减低患者痰液粘稠度,减少痰痂形成,降低肺部感染发生,减少气道黏膜损伤并且提高氧疗后的呼气频率、氧分压、血氧饱和度。值得在临床中推广。

Application Observation of Simple and Reusable Artificial Airway Cap in the Management with Artificial Airway Patients

[Objective]To explore the effect of simple and reusable artificial airway cap in the management of patients with artificial airway.[Method]Choose the tracheotomy patients in Yiwu Central Hospital.Patients who met the criteria were randomly assigned to the trial group and the control group.There were 50 cases in the experimental group and 50 cases in the control group.The sputum consistency,the number of sputum scab formation,the incidence of pulmonary infection,the rate of airway mucosal injury;respiratory frequency,partial pressure of oxygen(PaO2)and blood oxygen saturation(SpO2)after oxygen therapy were compared between the two groups.[Result]In the experimental group,the sputum consistency,the number of sputum scabs,the incidence of pulmonary infection and the rate of airway mucosal injury were lower than those in the control group.There was significant difference between the two groups(P<0.05).Respiratory frequency,PaO2 and SpO2 after oxygen therapy in the experimental group were significantly higher than those in the control group(P<0.05).[Cunclusion]Simple and reusable artificial airway cap can reduce sputum viscosity,sputum scab formation,pulmonary infection and airway mucosal injury and can increase the expiratory frequency,partial pressure of oxygen and oxygen saturation of blood after oxygen therapy.for patients with artificial airway.It is worth popularizing in clinic.