吸入性损伤行气管切开患者持续气道湿化的效果观察

目的:探讨吸入性损伤行气管切开患者持续气道湿化的效果。方法:将60例吸入性损伤行气管切开患者随机分为实验组30例,采用微量注射泵持续滴入气道湿化液。对照组30例,采用传统的气道内定时、间断注射器滴入湿化法,对比两种方法痰痂形成、气道粘膜出血、刺激性咳嗽及肺部感染并发症。结果:持续气道湿化患者痰痂形成、刺激性咳嗽明显低于间断气道湿化法,差异有统计学意义(P<0.01);气道粘膜出血、肺部感染并发症也低于间断气道湿化法,差异有统计学意义(P<0.05)。结论:吸入性损伤行气管切开患者持续气道湿化效果好,可以降低患者肺部感染率及相应的气道并发症。

Effect of Continuous Humidification on Respiratory Complication inInhalation Injury Patients with Tracheotomy

Objective: To investigate the effect of continuous airway humidification on respiratory complication in inhalation injury patients with tracheotomy.Methods: 60 cases of inhalation injury patients with tracheotomy were randomly divided into the control group and the experimental group,with 30 cases in each group.The experimental group was given continuous airway humidification with infusion pump,and control group was given airway injection intermittently.Then the respiratory complication of the two groups including formation of sputum callus,irritable cough,respiratory mucosal bleeding and pulmonary infection,were compared.Results: The incidence of formation of sputum callus and irritable cough respiratory in the experimental group were significantly fewer than in control group(P<0.01).The incidence of mucosal bleeding and pulmonary infection in the experimental group was also lower than in control group(P<0.05).Conclusion: Continuous airway humidification significantly reduce the incidence rate of respiratory complications in the inhalation injury with tracheotomy.