ICU患者人工气道内痰痂形成的高危因素及护理对策分析

目的探讨ICU患者人工气道内痰痂形成的高危因素及护理对策。方法通过对我院经治的并发人工气道内痰痂56例ICU患者的临床资料进行分析，总结人工气道内痰痂形成的高危因素及护理对策。结果无有效的气道湿化、误吸、气道出血、无定时翻身、叩背、吸痰是人工气道内痰痂形成发病的独立因素。结论人工气道内痰痂形成是ICU患者行机械通气的一种并发症，容易继发感染，通过对各种高危因素进行控制、预防，实施有效的护理，可以很好地预防其发生。

An Analysis of the Formation of Artificial Airway Sputum Scab of ICU Patients and Its Nursing Countermeasures

Objective To investigate the hazardous factors in the formation of artificial airway sputum scab of ICU patients and its nursing countermeasures. Methods To summarize the hazardous factors in the formation of artificial airway sputum scab and its nursing countermeasures through studying the clinical data of 56 cases of ICU patients with concurrent airway sputum. Results The absence of effective airway humidification, wrong aspiration, airway bleeding, no turning-over of bodies or back-knocking and suction were the independent factors for the occurrence of the disease. Conclusion Artificial airway sputum scab is one of the complications in the process of ICU patients undergoing mechanical ventilation. It＇ s easy to secondary infection. It can be effectively prevented by hazardous factor-controlment, pre-emptive measures and effective nursing.