CAJ | 학술논문

目的：探讨氧驱雾化吸入与持续气道湿化液泵入在ICU气管切开患者中的临床疗效。方法：选取100例ICU气管切开患者法分为对照组和观察组，对照组给予持续气道湿化液泵入，观察组给予氧驱雾化吸入，比较两组湿化方法的临床效果。结果：湿化21 d后，观察组平均痰液量及黏液黏稠度（Ⅲ度）患者比例明显低于对照组；观察组肺部感染率、气道黏膜出血、痰痂形成、院内感染率、死亡率患者明显低于对照组，ICU转出率高于对照组，比较差异均具有统计学意义（P<0.05）。结论：氧驱雾化吸入在ICU气管切开患者中的应用效果优于持续气道湿化液泵入，可提高ICU转出率，降低院内感染率、死亡率，值得临床推广应用。
목적：탐토양구무화흡입여지속기도습화액빙입재ICU기관절개환자중적림상료효。방법：선취100례ICU기관절개환자법분위대조조화관찰조，대조조급여지속기도습화액빙입，관찰조급여양구무화흡입，비교량조습화방법적림상효과。결과：습화21 d후，관찰조평균담액량급점액점주도（Ⅲ도）환자비례명현저우대조조；관찰조폐부감염솔、기도점막출혈、담가형성、원내감염솔、사망솔환자명현저우대조조，ICU전출솔고우대조조，비교차이균구유통계학의의（P<0.05）。결론：양구무화흡입재ICU기관절개환자중적응용효과우우지속기도습화액빙입，가제고ICU전출솔，강저원내감염솔、사망솔，치득림상추엄응용。
Objective:To investigate the effect of oxygen nebulizer inhalation with continuous airway humidification fluid is pumped into the open clinical curative effect in patients with ICU tube. Method:100 ICU patients with tracheotomy were divided into control group and observation group. The control group was given continuous airway humidification fluid into the pump,the observation group was given oxygen nebulizer inhalation,compared clinical effect of wet method between the two groups. Result:After 21 days,the observation group average amount of sputum and mucous viscosity(Ⅲ)was significantly lower than that of the control group(P<0.05). The rate of pulmonary infection,the airway mucosal bleeding,phlegm scab formation, the rate of nosocomial infection,mortality of the observation group was significantly better than that of the control group besides ICU transfer rate,the difference was statistically significant(P<0.05). Conclusion:Oxygen atomization inhalation is better than the effect of incision in patients with continuous airway humidification fluid is pumped into the trachea in ICU,ICU can improve the transfer rate,reduce the hospital infection rate,mortality rate,worthy of clinical application.