摘要
目的探讨人工气道气囊压力监测在老年危重病人气管导管护理中的应用价值。方法将60例建立人工气道的老年危重病人随机分成两组,实验组应用PORTEX专用气囊压力监测表注气测压,对照组采用传统的手指捏感法注气;用呼吸机检查漏气情况,并比较两组病人的气囊注气容积、气囊压力及并发症发生率。结果实验组气囊压力为2.452kPa±0.490kPa时,气囊容积为10.0ml±4.7ml,呼吸机检查不漏气;对照组气囊压力为3.923kPa±0.736kPa时,气囊容积为15.0mL±5.1mL,呼吸机检查不漏气。两组病人气管黏膜损伤、气囊破裂发生率比较有统计学意义(P<0.05);两组病人误吸、食管气管瘘发生率比较无统计学意义(P>0.05)。结论建立人工气道的老年危重病人气囊压力维持在1.961kPa^2.942kPa,能有效避免误吸的发生和气管黏膜的损伤。
Objective To probe into the application values of pressure monitoring of artificial airway gasbag in nursing care of critical senile patients accepted endotracheal catheterization.Methods A total of 60 critical senile patients with establishment of artificial airway were divided into both test and control groups randomly.Patients of test group were used PORTEX aerocyst pressure monitoring meter to aerify and to take pressure.While patients of control group were applied traditonal fingers-nipping to aerify.Air leskage of the two group patients was checked via ventilator.Both aerifying volume and pressure of aerocysts,incidence of complication of the two group patients were compared with each other Results When aerocysts pressure of test group patients was at 2.452±0.490kPa,aerocysts volume of them was 10.0mL±4.7mL,there was no air leakage checked via ventilator. However, when aerocysts pressure of control group patients was at 3.923kPa±0.736kPa,aerocysts volume of them was 15.0mL±5.1mL,there was no air leakage checked via ventilator either.In terms of both tracheal mucous injury and aerocyst broken incidences,there were statistical significances between the two groups patients (P<0.05).There were no statistical significances between the two group in terms of either aspiration and esophago-tracheal fistula incidences among all patients(P>0.05).Conclusion To establish artificial airway and keep the aerocyst pressure at 1.961kPa-2.942kPa. For critical, senile patients could avoid either aspiration or tracheal mucous injury effectively.
出处
《菏泽医学专科学校学报》
2005年第2期68-69,共2页
Journal of Heze Medical College
关键词
危重病人
老年
人工气道
气囊压力监测
Critical patients
senile
artificial airway
aerocyst pressure monitoring
