摘要
目的:探讨便携式气道湿化装置在头颈部肿瘤行气管切开术患者中的应用效果。方法:选取2021年10月至2023年5月在中国医学科学院北京协和医学院肿瘤医院头颈外科治疗的100例头颈部肿瘤行气管切开术患者,采用随机数表法将其分为观察组和对照组,每组50例。对照组给予常规雾化吸入进行气道湿化,观察组在常规雾化吸入的基础上使用含有0.45%氯化钠溶液的便携式气道湿化装置进行持续气道湿化,观察对比两组患者术后气道痰液湿化效果、痰痂发生、气道损伤出血、气管套管阻塞情况及患者舒适度。结果:观察组患者术后第1、2、3、4、5 d痰液湿化满意率分别为84.0%、88.0%、92.0%、96.0%和96.0%,均优于对照组,差异有统计学意义(χ^(2)=46.240、64.103、70.560、67.919、74.227,P<0.05)。观察组术后第2、3、4、5 d痰痂形成分别为1、5、1、1例,少于对照组,差异有统计学意义(χ^(2)=7.111、23.926、21.760、17.344,P<0.05)。观察组术后第2 d气道损伤出血和总体气管套管阻塞分别为2例和1例,显著少于对照组,差异有统计学意义(χ^(2)=4.000、5.982,P<0.05)。观察组气道湿化舒适度、吸痰舒适度及总舒适度评价分别为(17.96±0.75)分、(16.06±1.05)分和(34.04±1.63)分,均低于对照组,差异有统计学意义(t=9.843、17.298、15.792,P<0.05)。结论:便携式气道湿化装置对头颈部肿瘤行气管切开术患者的气道湿化效果显著,可减少痰痂的发生,降低总体气管套管阻塞例数,并可提高头颈肿瘤气管切开患者的气道舒适度。
Objective:To explore the application effect of portable device of airway humidification on patients with head and neck tumor who underwent tracheostomy.Methods:A total of 100 patients with head and neck tumors who underwent tracheostomy at Department of Head and Neck Surgery of Cancer Hospital of Chinese Academy of Medical Sciences and Peking Union Medical College from October 2021 to May 2023 were selected as the study subjects.They were randomly divided into the control group and the observation group by using a random number table method,with 50 cases in each group.The control group received conventional nebulization inhalation for airway humidification,and the observation group adopted portable device of airway humidification with 0.45%sodium chloride solution to conduct sustained airway humidification.The effect of airway humidification,occurrence of phlegm scabs,injury and bleeding of airway,tracheal tube obstruction,and comfort level of patients after surgery were observed and compared between the two groups.Results:The satisfaction rates of the patients of observation group at the 1st,2nd,3rd,4th,and 5th day after surgery were 84.0%,88.0%,92.0%,96.0%and 96.0%for humidification of wet sputum,which were better than those of control group,and the differences were statistically significant(χ^(2)=46.240,64.103,70.560,67.919,74.227,P<0.05),respectively.The formations of phlegm scabs were respectively 1,5,1 and 1 cases at the 2nd,3rd,4th,5th d after surgery in observation group,which were less than those in control group,and the differences were statistically significant(χ^(2)=7.111,23.926,21.760,17.344,P<0.05),respectively.The numbers of airway injury bleeding and overall tracheal tube obstruction at the 2nd d after surgery in the observation group were respectively 2 cases and 1 case,which were significantly less than those in the control group,and the differences were statistically significant(χ^(2)=4.000,5.982,P<0.05),respectively.The comfort levels of airway humidification and suction phlegm,and overall
作者
寇翠敏
付欣
任雅梅
戴丹丹
李妍
吕青
Kou Cuimin;Fu Xin;Ren Yamei;Dai Dandan;Li Yan;Lyu Qing(Department of Head and Neck Surgery,National Cancer Center National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China)
出处
《中国医学装备》
2024年第10期24-28,共5页
China Medical Equipment
基金
中国癌症基金会北京希望马拉松基金(LC2021C05)。
关键词
便携式气道湿化装置
头颈部肿瘤
气管切开
湿化效果
Portable device of airway humidification
Head and neck tumor
Tracheotomy
Humidification effect
