CAJ | 학술논문

目的：探讨气管切开患者不同吸氧和气道湿化方法的临床效果。方法将2012年3月至2013年7月行气管切开的105例患者随机分为观察组52例和对照组53例。对照组患者采用头皮针管吸氧加输液泵持续湿化气道，观察组患者采用气管切开面罩吸氧湿化，比较两组患者的呼吸频率、手指脉搏血氧饱和度、湿化效果、肺部感染发生率及手术当天至术后6d用于气管切开平均每天每项护理的总时间和治疗费用。结果两组患者在呼吸频率和手指脉搏血氧饱和度、湿化效果方面比较，差异无统计学意义（P＞0.05），在肺部感染发生率、护理时间、医疗费用等方面比较，观察组优于对照组，差异有统计学意义（P＜0.05）。结论气管切开面罩吸氧湿化用于气管切开患者效果满意，既经济，又能节约护理人力资源。
목적：탐토기관절개환자불동흡양화기도습화방법적림상효과。방법장2012년3월지2013년7월행기관절개적105례환자수궤분위관찰조52례화대조조53례。대조조환자채용두피침관흡양가수액빙지속습화기도，관찰조환자채용기관절개면조흡양습화，비교량조환자적호흡빈솔、수지맥박혈양포화도、습화효과、폐부감염발생솔급수술당천지술후6d용우기관절개평균매천매항호리적총시간화치료비용。결과량조환자재호흡빈솔화수지맥박혈양포화도、습화효과방면비교，차이무통계학의의（P＞0.05），재폐부감염발생솔、호리시간、의료비용등방면비교，관찰조우우대조조，차이유통계학의의（P＜0.05）。결론기관절개면조흡양습화용우기관절개환자효과만의，기경제，우능절약호리인력자원。
Objective To explore the clinical effects of various oxygen inhalation and airway humidification in patients with tracheotomy. Methods Totally 105 patients with tracheotomy from February 2012 to July 2013 were randomized into observa-tion group(n=52) and control group(n=53). The patients in control group had scalp needle for oxygen inhalation and infusion pump for airway humidification continuously ,while the patients in observation group was treated with tracheotomy mask for oxygen and moisture. Comparison was conducted between the two groups on respiratory rate,finger pulse oxygen saturation,humidifica-tion effect,the incidence of pulmonary infection,daily nursing time of each item and the cost on the day of surgery and 6 d after tracheotomy. Results There was no statistical significance in respiratory frequency,finger pulse oxygen saturation,humidifica-tion effect between the two groups(P>0.05). However,the incidence rate of pulmonary infection,nursing time,hospitalization costs and so on in the observation group were better than those in the control group with statistically significant difference (P<0.05). Conclusion Tracheotomy mask for oxygen and moisture has satisfactory effect of humidification for patients with tracheotomy , which is economy as well as saving nursing human resources.