CAJ | 학술논문

目的：：探讨人工鼻在气管切开自主呼吸患者气道管理中的效果，寻求一种有效、简便的人工气道管理方法。方法：选择重症医学科住院的颅脑损伤气管切开患者41例，随机分为应用人工鼻组21例和常规气道湿化组20例，比较两组在纤支镜检查次数、纤支镜检查平均分钟数、呼吸道刺激征、呼吸道阻力增加、封堵气切口时间、痰痂形成、吸痰次数及日均吸痰量等方面的差异。结果：人工鼻湿化在减少纤支镜检查次数及时间、减少气道反应、减少痰液分泌等方面明显优于常规湿化组(P<0.05)。结论：人工鼻具有显著的气道湿化、保温效果，提高人工气道的管理效能。
목적：：탐토인공비재기관절개자주호흡환자기도관리중적효과，심구일충유효、간편적인공기도관리방법。방법：선택중증의학과주원적로뇌손상기관절개환자41례，수궤분위응용인공비조21례화상규기도습화조20례，비교량조재섬지경검사차수、섬지경검사평균분종수、호흡도자격정、호흡도조력증가、봉도기절구시간、담가형성、흡담차수급일균흡담량등방면적차이。결과：인공비습화재감소섬지경검사차수급시간、감소기도반응、감소담액분비등방면명현우우상규습화조(P<0.05)。결론：인공비구유현저적기도습화、보온효과，제고인공기도적관리효능。
Objective:To discuss the effect of artifical nose in the tracheotomy patients with self breath and to find a better method for nursing of the patients with artificial airway.Methods:41 craniocerebral injury patients with tracheotomy in ICU were randomly divided into two groups:the experiment group of 21 patients and control group of 20 patients.Compared the Bronchofiberscope inspection times, bronchofiberscope check average minutes, respiratory stimulation, respiratory resistance increase,tracheotomy plugging time, sputum scab formation,sputum suction frequency and average daily amount of sputum suction between two group.Results:There were significant difference among bronchofiberscope inspection frequency and time, reduce airway reaction,reducing sputum secretion(P<0.05). Conclusion:The artificial nose had better effects of tracheal humidifying and warming,improve the artificial airway management efficiency.