中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
14期
100-102
,共3页
李莉%邹凤云%商祥芹%黄英梅
李莉%鄒鳳雲%商祥芹%黃英梅
리리%추봉운%상상근%황영매
呼吸道%湿化液%脑外伤%气管切开
呼吸道%濕化液%腦外傷%氣管切開
호흡도%습화액%뇌외상%기관절개
Airway%Humidification fluid%Brain trauma%Tracheotomy
目的：探讨不同湿化液对气管切开患者呼吸道湿化的效果。方法：将150例气管切开患者根据随机数字表法分为对照组、试验A组和试验B组各50例。试验组A使用灭菌注射用水+生理盐水+沐舒坦混合溶液作为呼吸道湿化液，试验组B使用1.4%的碳酸氢钠溶液作为呼吸道湿化液。对照组使用灭菌注射用水作为呼吸道湿化夜。观察不同湿化液对呼吸道湿化的效果和并发症的发生率。结果：试验A组呼吸道湿化效果良好率均明显高于试验B组和对照组，差异均有统计学意义（P<0.05），而刺激性咳嗽、呼吸道黏膜损伤和出血、气道阻塞次数、呼吸道感染等并发症发生率均明显低于对照组，差异均有统计学意义（P<0.01）；试验B组患者气道阻塞次数、呼吸道感染等并发症发生率均明显低于对照组，差异均有统计学意义（P<0.05）。结论：灭菌注射用水+生理盐水+沐舒坦混合溶液在气管切开患者呼吸道湿化中效果明显，优于灭菌注射用水或1.4%的碳酸氢钠溶液，值得在临床护理中推广应用。
目的：探討不同濕化液對氣管切開患者呼吸道濕化的效果。方法：將150例氣管切開患者根據隨機數字錶法分為對照組、試驗A組和試驗B組各50例。試驗組A使用滅菌註射用水+生理鹽水+沐舒坦混閤溶液作為呼吸道濕化液，試驗組B使用1.4%的碳痠氫鈉溶液作為呼吸道濕化液。對照組使用滅菌註射用水作為呼吸道濕化夜。觀察不同濕化液對呼吸道濕化的效果和併髮癥的髮生率。結果：試驗A組呼吸道濕化效果良好率均明顯高于試驗B組和對照組，差異均有統計學意義（P<0.05），而刺激性咳嗽、呼吸道黏膜損傷和齣血、氣道阻塞次數、呼吸道感染等併髮癥髮生率均明顯低于對照組，差異均有統計學意義（P<0.01）；試驗B組患者氣道阻塞次數、呼吸道感染等併髮癥髮生率均明顯低于對照組，差異均有統計學意義（P<0.05）。結論：滅菌註射用水+生理鹽水+沐舒坦混閤溶液在氣管切開患者呼吸道濕化中效果明顯，優于滅菌註射用水或1.4%的碳痠氫鈉溶液，值得在臨床護理中推廣應用。
목적：탐토불동습화액대기관절개환자호흡도습화적효과。방법：장150례기관절개환자근거수궤수자표법분위대조조、시험A조화시험B조각50례。시험조A사용멸균주사용수+생리염수+목서탄혼합용액작위호흡도습화액，시험조B사용1.4%적탄산경납용액작위호흡도습화액。대조조사용멸균주사용수작위호흡도습화야。관찰불동습화액대호흡도습화적효과화병발증적발생솔。결과：시험A조호흡도습화효과량호솔균명현고우시험B조화대조조，차이균유통계학의의（P<0.05），이자격성해수、호흡도점막손상화출혈、기도조새차수、호흡도감염등병발증발생솔균명현저우대조조，차이균유통계학의의（P<0.01）；시험B조환자기도조새차수、호흡도감염등병발증발생솔균명현저우대조조，차이균유통계학의의（P<0.05）。결론：멸균주사용수+생리염수+목서탄혼합용액재기관절개환자호흡도습화중효과명현，우우멸균주사용수혹1.4%적탄산경납용액，치득재림상호리중추엄응용。
Objective:To explore the airway humidification effect of different humidification fluid for patients with tracheotomy.Method:According to the random number table,150 tracheotomy patients were randomly divided into the control group,the test group A and the test group B,50 cases in each group.The test group was given sterile water+saline+ambroxol mixture liquid as respiratory tract wet.The test group B was given 1.4% sodium bicarbonate solution as airway humidification fluid.The control group was given sterile water as airway humidification fluid.The effects and complications of different humidification fluid on airway wet were observed and compared.Result:In the test group A,the effective rate of airway humidification was higher than the test group B and the control group,the difference was statistically significant(P<0.05),while the incidence of irritable cough,airway mucosa damage and bleeding, obstruction of the airway,respiratory infection and other complications were significantly lower than the control group, the differences were statistically significant(P<0.01).The rate of airway obstruction and respiratory infection of the test group B were lower than the control group,the differences were statistically significant(P<0.05).Conclusion:The airway humidification effect of sterile water+saline+ambroxol mixed solution for patients in tracheotomy is obvious,which is better than sterile water and 1.4%sodium bicarbonate,and it is worthy of popularization and application in clinical nursing.
