摘要
目的探讨2种气道湿化方法对控制重症高血压脑出血气管切开患者呼吸系统的影响。方法选择2010年1月—2011年6月入神经外科重症监护病房重症高血压脑出血气管切开患者40例,随机分为观察组和对照组,各20例。观察组采用加热湿化器给氧法湿化;对照组采用湿化瓶鼻导管吸氧、定时-间断气道湿化法;观察患者湿化效果、气道黏膜出血、肺部感染、气道堵塞指标。结果观察组改善患者痰液性状优于对照组(P<0.01);观察组气道黏膜出血、肺部感染、气道堵塞的发生率明显低于对照组(P<0.01)。结论加热湿化器给氧法湿化是控制重症高血压脑出血气管切开术后呼吸系统相关并发症的有效办法。
Objective To investigate the influence of two kinds of airway humidification on controlling the respiratory system of severe hypertensive intracerebral hemorrhage patients with tracheotomy. Methods Forty severe hypertensive intraeerebral hemorrhage patients with tracheotomy were recruited from the neurological intensive care unit of the first hospital of hebei medical university between January 2010 and June 2011. All the cases were randomly divided into two groups, observation group of 20 cases adopted heated humidifier oxygen method;control group of 20 cases adopted humidifier bottle - nasal catheter oxygen method combined with intermittent airway humidification. The humidification effect, the situation of airway mucosal bleeding, pulmonary infection and airway obstruction were observed. Results The observation group has a better effect on improving sputamentum quale （P 〈 0.01 ） and has a significantly lower incidence of airway mucosal bleeding, pulmonary infection and airway obstruction （P 〈 0.01 ）. Conclusion The heated humidifier oxygen method is effective on controlling the complications of respiratory system in severe hypertensive intracerebral hemorrhage patients with traeheotomy.
出处
《河北医科大学学报》
CAS
2012年第5期507-509,共3页
Journal of Hebei Medical University
关键词
颅内出血
高血压性
气管切开术
呼吸系统
intracranial hemorrhage, hypertensive
tracheotomy
respiratory system
