摘要
目的:探讨气管插管气道湿化的有效方法。方法:将70例慢性阻塞性肺疾病(COPD)急性发作致呼吸衰竭采用机械通气辅助呼吸者随机分为实验组和对照组各35例,实验组使用新型气管插管进行气道湿化,在湿化管外口接静脉输液装置一套,根据病情每天持续滴入生理盐水250 ml左右;对照组使用传统式气管插管进行气道湿化,总量为每天250 ml左右。观察两组治疗前和治疗结束时血气分析,抗生素应用时间,住院时间和住院费用及病死率。结果:两组在治疗结束时pH、PaCO2、PaO2与治疗前比较均有明显改善,差异有显著性(P<0.05),实验组抗生素应用时间和住院时间、住院费用与对照组相比明显减少,且病死率降低,差异有显著性(P<0.05)。结论:新型气管插管气道湿化操作简单、方便,效果更可靠。
Objective ： To explore the effective method of humidification of air passage by using new type trachea cannula. Methods： Seventy patients with respiratory failure due to acute onset of chronic obstructive pulmonary disease （ COPD） were randomly divided into experimental group and control group （35 cases for each group ） , and they were all treated with mechanical ventilation. Humidification of air passage was given to the patients by new type trachea cannula in experimental group, connecting a set of intravenous infusion devices with the outside mouth of the cannula and giving patients continuous infusion of normal saline 250 ml every day in accordance with their conditions ; conventional trachea cannula was used for humidification of air passage in control group, the patients were given normal saline about 250 ml per day. Observation was made on blood gas analysis, time of taking antibiotics, length of hospitalization, costs and mortality before and after treatment in both groups. Results ： At the end of the treatment, pH, PaCO2, PaO2 have markedly improved and there Was a significant difference （P 〈 0.05 ） ; the time of taking antibiotics, length of hospitalization, costs and mortality were shortened and decreased significantly in experimental group comparing with that in control group, there was a significant difference （ P 〈 0.05 ）. Conclusion ： The operation of new type trachea cunnula is easy, convenient and the effect of humidification is more reliable.
出处
《齐鲁护理杂志》
2009年第3期11-12,共2页
Journal of Qilu Nursing
