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加温湿化吸氧法在气管切开患者中的应用
引用本文:张燕,吴静.加温湿化吸氧法在气管切开患者中的应用[J].中国实用护理杂志,2011,27(33).
作者姓名:张燕  吴静
作者单位:214002,南京医科大学附属无锡第二医院ICU
摘    要:目的 探讨加温湿化吸氧法在气管切开患者中的应用价值.方法 选择41例气管切开患者作为研究对象,采用随机数字法将患者分为治疗组21例与对照组20例.治疗组采用加温湿化吸氧法进行呼吸道护理,对照组采用常规呼吸道湿化法进行呼吸道护理,对2组患者呼吸道湿化效果进行判定,并比较2组的痰液黏稠度、痰痂的形成、呼吸道刺激性症状、呼吸道黏膜出血,呼吸道阻力、肺部感染情况及平均ICU入住天数.结果 治疗组湿化效果优于对照组,痰液黏稠度、痰痂的形成、呼吸道刺激性症状、呼吸道黏膜出血,呼吸道阻力、肺部感染及平均ICU入住天数等各项指标也优于对照组.结论 加温湿化吸氧法比常规呼吸道湿化法更适合于气管切开患者的呼吸道护理.

关 键 词:气管切开  加温湿化  重症监护  呼吸道护理

Application of warming humidification oxygen therapy in patients with tracheotomy
ZHANG Yan,WU Jing.Application of warming humidification oxygen therapy in patients with tracheotomy[J].Chinese Journal of Practical Nursing,2011,27(33).
Authors:ZHANG Yan  WU Jing
Abstract:Objective To investigate the application value of warming humidification oxygen therapy in patients after tracheotomy.Methods Forty-one patients after tracheotomy were collected consecutively for this study.All patients were randomly assigned into the treatment group (21 cases)and the control group (20 cases).The treatment group adopted warming humidification oxygen therapy,and the control group adopted common airway moistening method.Moist effect judgment,viscosity of sputum,phlegm scab formation,respiratory irritation symptoms,airway mucosal bleeding,air way resistance,lung infection cases,average days in the ICU were investigated.Results There were statistically significant differences in moist effect judgment,viscosity of sputum,phlegm scab formation,respiratory irritation symptoms,airway mucosal bleeding,air way resistance,lung infection cases,average days in the ICU between the two groups.Conclusions Warming humidification oxygen therapy is more suitable to patients with tracheotomy than common airway moistening method.
Keywords:Ttracheotomy  Warming humidification  Intensive care  Airway nursing
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