CAJ | 학술논문

目的：探讨气道灌洗治疗吸入性损伤患者的效果。方法将60例吸入性损伤患者分为研究组和对照组，每组各30例，对照组采用传统护理方法，包括吸痰、雾化吸入、叩背等，研究组在此基础上采用气道灌洗，观察两组患者血气分析结果和痰痂堵管及肺部感染发生情况。结果研究组患者肺通气功能优于对照组；痰痂堵管率和肺部感染率低于对照组，两组比较，差异均有统计学意义（P＜0.05）。结论气道灌洗可及时清除吸入性损伤患者气道内痰痂，改善肺通气功能，降低肺部感染发生率。
목적：탐토기도관세치료흡입성손상환자적효과。방법장60례흡입성손상환자분위연구조화대조조，매조각30례，대조조채용전통호리방법，포괄흡담、무화흡입、고배등，연구조재차기출상채용기도관세，관찰량조환자혈기분석결과화담가도관급폐부감염발생정황。결과연구조환자폐통기공능우우대조조；담가도관솔화폐부감염솔저우대조조，량조비교，차이균유통계학의의（P＜0.05）。결론기도관세가급시청제흡입성손상환자기도내담가，개선폐통기공능，강저폐부감염발생솔。
Objective To investigate the effect of airway lavage on patients with inhalation injury.Methods Sixty patients in our department with simple inhalation injury were divided into experimental group(n=30)and control group(n=30).The control group accepted traditional nursing care(aspiration of sputum,aerosol inhalation,backslap and body position adjusting) and the experimental group accepted timed airway lavage and necessary ventilator-assisted breathing in addition to traditional nursing.The arterial blood gas value(PaO2,PaCO2),rate of sputum crab plugging and lung infection were compared.Result The lung function, SpO2 and PaO2 significantly increased and rate of sputum crab plugging and lung infection significantly decreased in experiment group (P<0.05).Conclusion Airway lavage can clear sputum crab in time,improve lung fuction and reduce lung infection of patients with inhalation injury.