CAJ | 학술논문

目的：探讨微剂量输液器在呼吸机湿化器注水过程中的应用，以期加强机械通气患者气道均匀温、湿化，提高呼吸机湿化器的安全管理。方法采用半随机抽取信封法将83例使用呼吸机机械通气的患者分为两组，试验组采用微剂量输液器及输液报警装置进行湿化器持续注水，对照组采用传统的普通输液器间断注入湿化水，观察两组的注水时间、注水后患者吸入端温度差异、水温回升时间及痰液黏稠度等情况。结果试验组注水时间为（2．40±0．40） min/d，明显低于对照组的（13．24±11．03）min/d，两组比较差异有统计学意义（t ＝6．3658；P＜0．01），试验组注水后吸入气体温度为（36．79±1．56）℃，明显高于对照组的（24．29±1．60）℃，两组比较差异有统计学意义（t＝36．0382；P＜0．01），机械通气第3天痰液黏稠度明显减轻。结论采用微剂量输液器及输液报警装置进行湿化器持续注水提高了湿化水量控制的准确性，使患者气道得到持续恒温湿化，弥补了湿化器的报警缺陷，保证患者的湿化安全，减少了护士的工作量。
목적：탐토미제량수액기재호흡궤습화기주수과정중적응용，이기가강궤계통기환자기도균균온、습화，제고호흡궤습화기적안전관리。방법채용반수궤추취신봉법장83례사용호흡궤궤계통기적환자분위량조，시험조채용미제량수액기급수액보경장치진행습화기지속주수，대조조채용전통적보통수액기간단주입습화수，관찰량조적주수시간、주수후환자흡입단온도차이、수온회승시간급담액점주도등정황。결과시험조주수시간위（2．40±0．40） min/d，명현저우대조조적（13．24±11．03）min/d，량조비교차이유통계학의의（t ＝6．3658；P＜0．01），시험조주수후흡입기체온도위（36．79±1．56）℃，명현고우대조조적（24．29±1．60）℃，량조비교차이유통계학의의（t＝36．0382；P＜0．01），궤계통기제3천담액점주도명현감경。결론채용미제량수액기급수액보경장치진행습화기지속주수제고료습화수량공제적준학성，사환자기도득도지속항온습화，미보료습화기적보경결함，보증환자적습화안전，감소료호사적공작량。
Objective To explore the application of microdose apparatus infusionis in the process of water injection in the ventilator humidification device in order to strengthen the uniform temperature and moisture in patients with mechanical ventilation and improve the safety management of ventilator humidification device . Methods Eighty-three patients with mechanical ventilation were divided into the experimental group and the control group according to the semi random envelope .The experimental group received the constant water injection through the microdose apparatus infusions and transfusion alarm device , and the control group received the intermittent water injection through the normal infusion .The time of water injection , the temperature of end inhalation in patients after water injection , the elevation time of water temperature and sticky sputum were compared between the two groups.Results The time of water injection was (2.40 ±0.40) min/d in the experimental group, and was significantly lower than (13.24 ±11.03) min/d in the control group, and the difference was statistically significant (t =6.3658, P <0.01).The temperature of inspired gas after water injection was (36.79 ±1.56)℃ in the experimental group, and was significantly higher than (24.29 ± 1.60) ℃in the control group, and the difference was statistically significant (t=36.038 2, P<0.01).The sticky sputum was significantly reduced the third day after mechanical ventilation .Conclusions The microdose apparatus infusions and transfusion alarm device can keep on water injection in the humidification device , improve the accuracy of the humidifying water control , make the airway constant temperature humidification in patients, make up the alarm defect of humidification device , ensure the safety of humidification in patients , and reduce the workload of nurses .