微量泵持续恒温气道湿化在气管切开术后非机械通气卧床患者中的护理效果
[摘要] 目的 探讨微量泵持续恒温气道湿化在气管切开术后非机械通气卧床患者中的护理效果。 方法 选取82例气管切开术后非机械通气卧床患者，将其随机分为观察组与对照组各41例。对照组予以微量泵持续常温气道湿化护理，观察组予以微量泵持续恒温气道湿化护理。比较两组湿化效果、气道并发症，湿化护理前后评价匹兹堡睡眠质量指数量表（PSQI）评分。 结果 气管切开后24 h，观察组与对照组的湿化效果无明显差异（P>0.05）；气管切开后48 h、14 d，观察组的气道湿化效果显著优于对照组（P<0.05）；观察组刺激性干咳、气道黏膜出血、痰痂形成、气管导管堵管和呼吸做功增加发生率均显著低于对照组（P<0.05）；切管切开后14 d，两组PSQI评分均显著降低，且观察组显著低于对照组（P<0.05）。 结论 微量泵持续恒温气道湿化能够提高患者的气道湿化效果，减少并发症发生率，并有利于改善患者的睡眠质量，对气管切开术后非机械通气卧床患者的气道护理具有重要意义。
[关键词] 非机械通气；气管切开；呼吸道护理；持续恒温气道湿化；微量泵
[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701（2017）32-0138-04
[Abstract] Objective To explore the nursing effects of continuous warm airway humidification by micro-pump in the non-mechanical ventilation bedridden patients receiving tracheotomy. Methods A total of 82 cases non-mechanical ventilation bedridden patients receiving tracheotomy were selected， they were randomly divided into observation group and control group， with 41 cases in each group. The control group was given continuous room temperature humidification by micro-pump，the observation group was given continuous warm airway humidification by micro-pump. The airway humidification effect and airway complications between the two groups were compared， the Pittsburgh Sleep Quality Index Scale（PSQI）scores were evaluated before and after humidification. Results 24 h after tracheotomy，the difference of airway humidification effect between the observation group and the control group was not ...
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