CAJ | 학술논문

目的：观察微泵持续湿化法对气管切开患者的护理效果。方法：70例行气管切开术的患者随机分为微泵组和对照组。微泵组患者使用微泵持续注射无菌生理盐水湿化气道，对照组患者则使用间歇法湿化气道。记录两组患者术后3d的痰液黏稠度，记录两组患者导管堵塞发生率和肺部感染发生率。结果：微泵组痰液黏稠度为Ⅰ度和Ⅱ度的患者比对照组的患者多，微泵组痰液黏稠度为Ⅲ度的患者则比对照组的患者少；微泵组患者导管堵塞发生率明显低于对照组；微泵组肺部感染发生率也比对照组低，差异均有统计学意义(P<0.05)。结论：微泵持续湿化法对气管切开患者的护理效果优于传统间歇气道湿化法。
목적：관찰미빙지속습화법대기관절개환자적호리효과。방법：70례행기관절개술적환자수궤분위미빙조화대조조。미빙조환자사용미빙지속주사무균생리염수습화기도，대조조환자칙사용간헐법습화기도。기록량조환자술후3d적담액점주도，기록량조환자도관도새발생솔화폐부감염발생솔。결과：미빙조담액점주도위Ⅰ도화Ⅱ도적환자비대조조적환자다，미빙조담액점주도위Ⅲ도적환자칙비대조조적환자소；미빙조환자도관도새발생솔명현저우대조조；미빙조폐부감염발생솔야비대조조저，차이균유통계학의의(P<0.05)。결론：미빙지속습화법대기관절개환자적호리효과우우전통간헐기도습화법。
Objective:To observe the nursing effect of micropump continuous airway moist on the patients underwent tracheotomy.Method:70 patients underwent tracheotomy were randomly divided into two groups,Micropump group and Control group.In the Micropump group,micropump continuous airway moist was carried out for the patients.In the Control group,intermittent airway moist was carried out for the patients.The sputum stickiness of 3 day after tracheotomy were recorded in both groups.The incidence of catheter obstruction and lung infection were recorded in both groups.Result:The patients with the sputum stickiness ofⅠandⅡdegree in Micropump group was more than those in Control group.The patients with the sputum stickiness ofⅢdegree in Micropump group was less than those in Control group.The incidence of catheter obstruction and lung infection in Micropump group were lower than it in Control group,the differences all were statistical significance(P<0.05).Conclusion:Micropump continuous airway moist is superior to intermittent airway moist for nursing the patients underwent tracheotomy.