摘要
目的 :探讨机械通气脱机患者采用呼吸机加温加湿器湿化联合文丘里装置供氧方法与T管装置湿化供氧方法的效果。方法 :按随机数字表法将100例符合条件的患者分成观察组和对照组各50例,观察组采用呼吸机加温加湿器湿化联合文丘里装置供氧方法,对照组采用T管装置湿化供氧方法。结果 :脱机后8h观察组血氧饱和度为(97.38±1.56)%,对照组血氧饱和度为(92.58±1.88)%,差异有统计学意义(P<0.05)。观察组患者痰液粘稠度(Ⅰ度60%、Ⅱ度32%、Ⅲ度8%)优于对照组(Ⅰ度24%、Ⅱ度26%、Ⅲ度50%),差异有统计学意义(P<0.05)。观察组患者刺激性咳嗽、气道黏膜出血例数均少于对照组,差异有统计学意义(P<0.05)。结论 :采用呼吸机加温加湿器湿化联合文丘里装置供氧方法能够有效改善患者的氧合状态,有利于患者痰液的排出,减少人工气道并发症及不良反应的发生,其效果优于T管装置湿化供氧方法。
Objective： To investigate the effect of two methods of using ventilator heated humidifier humidification device combined with Venturi oxygen and using T tube device of humidified oxygen among mechanical ventilation weaning patients. Methods： According to the random number table method, 100 eligible patients were randomly divided into the observation group and the control group with 50 cases in each group. The observation group used the method of ventilator heated humidifier humidification combined with Venturi apparatus oxygen, and the control group was treated with T tube device of humidified oxygen method. Results： Oxygen saturation in observation group was （97.38±1.56）% after 8h of mechanical ventilation weaning, while that in control group was （92.5±1.88）%, and the difference was statistically significant （P〈0.05）. The sputum viscosity in the observation group （Ⅰ 60%, Ⅱ32%, Ⅲ 8%） was better than that in the control group （Ⅰ24%, Ⅱ 26%, Ⅲ50%）. There was a significant difference in the effect of airway humidification, irritating cough, and airway mucosal hemorrhage between the two groups （P〈0.05）. Conclusion： The method of ventilator heated humidifier humidification device combined with Venturi oxygen could support the oxygenation state effectively, expel sputum easily, and reduce the occurrence of complications and adverse reaction of artificial airway. Its method is better than T tube device of humidified oxygen method.
出处
《中国护理管理》
CSCD
2015年第8期1004-1006,共3页
Chinese Nursing Management
关键词
机械通气脱机患者
气道湿化
供氧方法
mechanical ventilation weaning patients
airway humidification
oxygen supply method
