摘要
目的了解人工气道湿化过程中,不同湿化方法的选择对湿化效果的影响。方法选择2008年12月—2009年12月在我院应用人工鼻的人工气道患者52例,以方便抽样的方法分为实验组29例和对照组23例。实验组采用输液泵持续气道湿化,对照组采用注射器间歇滴注湿化,湿化液均采用0.45%氯化钠溶液125mL+5%碳酸氢钠125mL+氨溴索30mg进行气道湿化。结果实验组的湿化效果与对照组比较,差异有统计学意义(P<0.05);实验组的相关并发症与对照组比较,差异有统计学意义(P<0.05)。结论人工气道机械通气中采用输液泵持续气道湿化,具有操作简单、安全可靠、效果确切及并发症少等优点,明显优于传统的气道内定时、间断注入湿化液的方法。
Objective To investigate the effects of different kinds of humidification methods on patients with artificial airway. Methods A total of 52 patients with artificial airway who adopted artificial nose in our hospital were enrolled from December 2008 to December 2009. The patients were divided into the experimental group （ n = 29） and the control group （ n = 23 ）. The patients in the experimental group received continuous humidification via infusion pump, and the patients in the control group received intermittent humidification via syringe. The humidification fluid was composed of 125 mL of 0.45% NaCl, 125 mL of 5% NaHCO3 and 30 g amhroxol hydrochloride. Results The humidification effects were much better and the incidence of complications was much lower in the experimental group than those in the control group （ P 〈 0.05 ）. Conclusion During mechanical ventilation, the infusion pump - controlled continuous humidification of airway is simple, safe and reliable. It can increase the humidification effects and decrease the incidence of complications, much better than the traditional timing and intermittent humidification method.
出处
《上海护理》
2011年第1期17-19,共3页
Shanghai Nursing
关键词
机械通气
人工气道
气道湿化
Mechanical ventilation
Artificial airway
Airway humidification
