两种气道湿化方法效果评价和分析

目的观察两种气道湿化方法对气管切开术患者术后人工气道湿化的效果,以探讨其临床应用价值。方法选取2010年8月～2011年8月于笔者所在医院行气管切开术患者60例,随机分为对照组与观察组,各30例,其中对照组患者采用间断注射器注入法进行气道湿化,观察组患者采用持续微泵推注法进行气道湿化,观察两组患者湿化效果及并发症的发生情况。结果观察组患者湿化良好共29例(96.67%),明显优于对照组19例(63.33%),两组比较差异具有统计学意义(P<0.05);观察组患者痰痂、刺激性咳嗽、气道出血及肺部感染等并发症的发生均明显少于对照组,差异有统计学意义(P<0.05)。结论持续微泵推注法进行气道湿化用于器官切除术患者术后气道湿化效果良好、安全可靠,值得临床推广和应用。

Effect evaluation and analysis of airway humidification by two methods

Objective To analysis the clinical effect of airway humidification after tracheotomy in order to assess its clinical application value.Methods 60 tracheotomy patients were chosen for the research during the time from August 2010 to August 2011 in hospital.30 patients(contrast group)were treated by interrupted syringe injection for their treatment and the other 30 patients(treatment group)were treated by continuous micro pump infusion method.Two groups'clinical effects and complication had been compared.Results 29 patients of treatment group(96.67%)received excellent clinical effect,which was obviously higher than that of contrast group with only 19 patients(63.33)%.And patients of treatment group's complication such as the phlegm scab,irritable,airway hemorrhage and pulmonary infection is lower than that of contrast group.Conclusion The continuous micro pump infusion method's clinical effect is better than interrupted syringe injection for tracheotomy patients.It should be extended.