改良气道灌洗加拍背在喉部分切除患者气管切开护理中的应用

目的 观察改良气道灌洗加拍背在喉癌喉部分切除术后气管切开护理中的作用.方法 采用随机分组方法,将24例喉部分切除手术治疗的喉癌患者分成两组.对照组采用常规气管切开护理方法,实验组采用改良方法.比较两组患者在操作前后2 min平均动脉压、心率、血氧饱和度、术后戴管时间和戴管时间内肺部感染发生率.结果 两组患者在操作前及操作后2 min平均动脉压、心率和血氧饱和度自身前后对照均有统计学意义（P〈0.05）,组间比较无统计学意义（P〉0.05） 两组患者术后戴管时间及戴管时间内肺部感染发生率比较有统计学意义（P〈0.05）.结论 改良气道灌洗加拍背能有效帮助喉癌喉部分切除气管切开患者排痰,降低术后的肺部感染发生率,缩短戴管时间.

Application of combination of modified intermittent airway irrigation and percussion on back in tracheotomy patients with laryngeal carcinoma

Objective To observe the effect of combination of modified intermittent airway irrigation and percussion on back in tracheotomy patients with laryngeal carcinoma. Methods Twenty four patients were divided into 2 groups in random. Patients in control group received routine nursing, while patients in experimental group received modified intermittent airway irrigation and percussion on back. Mean arterial blood pressure (MAP), heart rate (HR) , saturation of pulse oximetry (SpO2) were recorded 2 minutes before and after the manipulation. Duration for patients to wear tracheal catheter and pulmonary infection rate were observed. Results MAP, HR and SpO2 were increased significantly followed the manipulation in patients of both groups (P<0.05). While there were no significant differences in MAP, HR and SpO2 in patients between the two groups (P>0.05). Duration for patients to wear tracheal catheter and pulmonary infection rate were both decreased in patients of experimental -group compared to those of control group(P<0.05).Conclusions Modified intermittent airway irrigation plus percussion on back may help the patients to expectorate and decrease the duration for patients to wear tracheal catheter and pulmonary infection rate.