摘要
目的:探讨痰液分级管理在ICU非机械通气患者气道湿化中的应用效果。方法:将60例气管切开非机械通气患者按入院先后顺序随机分成观察组和对照组,每组各30例,观察组根据每位患者痰液粘稠度的不同,不定时选择适合该患者湿化方式进行气道湿化;对照组均采用微量泵湿化方式进行气道湿化。比较2组患者气道湿化效果、并发症和住ICU时间。结果:观察组痰液湿化满意度优于对照组(25/30VS16/30,P <0. 05),黏膜损伤、刺激性咳嗽、肺部感染等并发症发生率明显低于对照组(P <0. 05),住ICU时间短于对照组(12. 83±2. 97VS 17. 87±2. 84,P <0. 05)。结论:应用痰液分级管理能有效提高气道湿化效果,减少并发症的发生率,缩短住ICU时间,值得推广使用。
[Objective] To explore the effects of sputum grading management in airway humidification in ICU patients w ith non-mechanical ventilation. [Method] Sixty non-mechanical ventilation patients after tracheotomy w ere randomly divided into study group and control group,w ith 30 patients in each group. According to the visceral viscosity of each patient,the humidification method suitable for each patient in observation group w as used to perform airw ay humidification. In control group,airw ay humidification w as performed by micro pump humidification. The effect of airw ay humidification,complication rate and days in ICU w ere compared betw een the tw o groups. [Result]The satisfaction of the humidification of the sputum in the study group w as better than that of the control group（ 25/30 vs 16/30,P〈0. 05）,the mucosa injury,incidence of irritating cough and pulmonary infection in study group w ere low er than those in the control group（ P〈0. 05）. Days in ICU w ere shorter than the control group（ 12. 83 2. 972 vs 17. 87 2. 837,P〈0. 05）.[Conclusion]The sputum grading management applied to airway humidification can improve the effect of airway humidification,decrease the complication,reduce ICU stay and is w orth promoting.
作者
郑丽芳
卢俊梅
程慧霞
吴霞云
ZHENG Lifan;LU Junmei;CHENG Huixia;WU Xiayun(The People＇s Hospital of Quzhou,Zhejiang 324000,China)
出处
《浙江医学教育》
2018年第5期17-19,共3页
Zhejiang Medical Education
关键词
痰液分级管理
非机械通气
气道湿化
痰液粘稠度
sputum grading management
non- mechanicaI ventilation
airway humidification
sputum viscosity
