CAJ | 학술논문

目的：对比分析改良吸氧装置与传统吸氧装置在人工气道优化管理中的临床效果。方法选取2011年1月至2013年12月我院诊治的建立人工气道患者68例为研究对象，将其随机分为两组各34例。对照组使用传统的吸氧装置进行气道湿化，实验组使用改良吸氧装置。观察比较两组患者的出血率、气道黏膜损坏率、舒适度、满意度以及临床治疗效果。结果实验组患者的出血率(5.88%)和气道黏膜损坏率(2.94%)均明显低于对照组的32.35%和35.29%，舒适度(85.29%)和满意度(82.35%)均明显高于对照组的26.47%和32.35%，治疗总有效率(82.35%)明显高于对照组的47.06%，差异均具有统计学意义(P<0.05)。结论改良吸氧装置使气道黏膜处于良好的湿化状态，利于呼吸道分泌物稀释排除，到达理想的气道净化效果。
목적：대비분석개량흡양장치여전통흡양장치재인공기도우화관리중적림상효과。방법선취2011년1월지2013년12월아원진치적건립인공기도환자68례위연구대상，장기수궤분위량조각34례。대조조사용전통적흡양장치진행기도습화，실험조사용개량흡양장치。관찰비교량조환자적출혈솔、기도점막손배솔、서괄도、만의도이급림상치료효과。결과실험조환자적출혈솔(5.88%)화기도점막손배솔(2.94%)균명현저우대조조적32.35%화35.29%，서괄도(85.29%)화만의도(82.35%)균명현고우대조조적26.47%화32.35%，치료총유효솔(82.35%)명현고우대조조적47.06%，차이균구유통계학의의(P<0.05)。결론개량흡양장치사기도점막처우량호적습화상태，리우호흡도분비물희석배제，도체이상적기도정화효과。
Objective To compare and analyze the clinical effect of improved oxygen device and traditional oxygen device in improving artificial airway. Methods 68 patients with artificial airway treated in our hospital from January 2011 to December 2013 were selected and randomly divided into two groups. The control group (34 cases) was given conventional oxygen device for airway humidification, the experimental group (34 cases) was given improved oxygen device. The bleeding rate, airway mucous damage rate, comfort rate, satisfaction and clinical effect of the two groups were observed and compared. Results In the experimental group, the bleeding rate (5.88%) and airway mucous damage rate (2.94%) were significantly lower than 32.35%and 35.29%in the control group, the comfort rate (85.29%) and satisfaction rate (82.35%) were significantly higher than 26.47%and 32.35%in the control group, the total effective rate (82.35%) was higher than 47.06%in the control group, all the difference was statistical (P<0.05). Conclusions Improved oxygen device can keep the airway mucous in humidification state, which is beneficial to the elimination of respiratory secretions and achieve the ideal effect of airway purification.