中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2009年
20期
8-10
,共3页
吕晓玲%夏秋江%罗群%牟宗娟%谭亚男%江高燕%周艳%龚婷婷%李源
呂曉玲%夏鞦江%囉群%牟宗娟%譚亞男%江高燕%週豔%龔婷婷%李源
려효령%하추강%라군%모종연%담아남%강고연%주염%공정정%리원
人工鼻%替代%加热湿化器%机械通气
人工鼻%替代%加熱濕化器%機械通氣
인공비%체대%가열습화기%궤계통기
Heat and moisture exchanger%Replacement%Heated humidifier%Mechanical venti-lation
目的 研究人工鼻(HME)替代加热湿化装置在呼吸机治疗中的可行性.方法 将近3年入住ICU的应用呼吸机治疗2 d以上的患者266例,应用阶段性病例分组对照的方法 分为实验组(人工鼻组)141例和对照组(加热湿化器组)125例,在湿化效果、应用人工气道时间、应用呼吸机时间、住ICU的时间、VAP发生率、病死率等方面进行对比研究和分析.结果实验组患者痰液湿化效果好的病例多于对照组,湿化不足、湿化过度及气道痉挛的病例均少于对照组.实验组在应用呼吸机时间和住ICU的时间上均少于对照组.实验组VAP发生率低于对照组.应用人工气道时间2组病例比较无差异;病死率2组病例比较无差异;实验组无湿化意外出现,对照组发生气道烫伤1例,发生呛水11例.结论 在呼吸机治疗中HME可以完全替代加热湿化系统在临床推广应用,但在应用时要注意观察患者病情变化、监测湿化效果和保持人工鼻通畅.
目的 研究人工鼻(HME)替代加熱濕化裝置在呼吸機治療中的可行性.方法 將近3年入住ICU的應用呼吸機治療2 d以上的患者266例,應用階段性病例分組對照的方法 分為實驗組(人工鼻組)141例和對照組(加熱濕化器組)125例,在濕化效果、應用人工氣道時間、應用呼吸機時間、住ICU的時間、VAP髮生率、病死率等方麵進行對比研究和分析.結果實驗組患者痰液濕化效果好的病例多于對照組,濕化不足、濕化過度及氣道痙攣的病例均少于對照組.實驗組在應用呼吸機時間和住ICU的時間上均少于對照組.實驗組VAP髮生率低于對照組.應用人工氣道時間2組病例比較無差異;病死率2組病例比較無差異;實驗組無濕化意外齣現,對照組髮生氣道燙傷1例,髮生嗆水11例.結論 在呼吸機治療中HME可以完全替代加熱濕化繫統在臨床推廣應用,但在應用時要註意觀察患者病情變化、鑑測濕化效果和保持人工鼻通暢.
목적 연구인공비(HME)체대가열습화장치재호흡궤치료중적가행성.방법 장근3년입주ICU적응용호흡궤치료2 d이상적환자266례,응용계단성병례분조대조적방법 분위실험조(인공비조)141례화대조조(가열습화기조)125례,재습화효과、응용인공기도시간、응용호흡궤시간、주ICU적시간、VAP발생솔、병사솔등방면진행대비연구화분석.결과실험조환자담액습화효과호적병례다우대조조,습화불족、습화과도급기도경련적병례균소우대조조.실험조재응용호흡궤시간화주ICU적시간상균소우대조조.실험조VAP발생솔저우대조조.응용인공기도시간2조병례비교무차이;병사솔2조병례비교무차이;실험조무습화의외출현,대조조발생기도탕상1례,발생창수11례.결론 재호흡궤치료중HME가이완전체대가열습화계통재림상추엄응용,단재응용시요주의관찰환자병정변화、감측습화효과화보지인공비통창.
Objective To study the feasibility of using heat and moisture exchangers (HME)as an alternative to heated humidifiers (HH) in patients undergoing mechanical ventilation. Methods 266 pa-tients with mechanical ventilation admitted to our ICU over the recent 3 years were allocated to the experi-mental group (humidification with a heat and moisture exchanger) and the control group (with heated hu-midifier), and the effect of humidification, the reserved time of artificial airway, the time on mechanical yen-tilation, the time of stay in ICU, the ineidenee of ventilator-associated pneumonia (VAP) and the mor-tality rate were comparatively studied and analyzed. Results Significant differences were found between the experimental and the control group in effect of humidification, insufficiency of humidification or excessive hu-midification, airway spasm and time on mechanical ventilation and time of stay in ICU. The incidence of VAP in the control group was significantly higher than that in the experimental group. There were no significant dif-ference between the two groups in the reserved time of artificial airway and the mortality rate. There were no accident of humidification occurred in the experimental group while there were one case complicated with air-way burn and 11 eases complicated with choking with water in the control group. Conclusions We conclude that HH can be replaced by HME on mechanical ventilation while disease evolution and effect of humidification should be monitored closely and keep HME unobstructed.
