100mlpp瓶制作雾化面罩应用于昏迷气管切开患者的临床疗效.docVIP

精品论文 参考文献 100mlpp瓶制作雾化面罩应用于昏迷气管切开患者的临床疗效 娄底市中心医院 417000 摘要：目的：评估100mlpp瓶制作雾化面罩应用于昏迷气管切开患者的临床疗效。方法：将我院收治的72例气管切开患者按数字随机表随机分为观察组与对照组，每组36例。其中，观察组采用100mlpp瓶雾化面罩吸氧，对照组采用普通面罩吸氧，观察并比较两组患者的临床疗效。结果：观察组留置气管切开套管时间为（18.54plusmn;7.28）d，与对照组相比，时间明显缩短（P＜0.05）。同时血氧饱和度亦明显优于对照组（P＜0.05）。观察组痰液黏稠度I度患者30例，占83.33%；对照组I度患者18例，占52.78%，因此观察组患者痰液易于吸出，不易形成痰痂，痰液黏稠情况较对照组相比，有显著改善（P＜0.05）。同时，观察组术后感染发生率明显低于对照组（P＜0.05）。结论：100mlpp瓶制作雾化面罩可有效改善氧供情况，抑制厌氧菌的生长繁殖，降低伤口感染。同时维持呼吸道湿度，使痰液易于吸出或咳出，不易形成痰痂，值得在昏迷气管切开患者雾化吸氧护理中推广。 关键词：雾化面罩；气管切开；吸氧 ABSTRACT：Objective To investigate the effect of 100ml pp bottle atomizer mask used in the coma patients with tracheotomy.Methods 72 coma patients with tracheotomy in our hospital were divided into two groups according to the random number table.The observation group was treated with 100ml pp bottle atomizer mask， while the control group was treated with normal mask.The efficacy of the two groups after treatment were compared.Results The indwelling tracheostomy tube time of observation group was（18.54 plusmn; 7.28）d， which was significantly shorter than the control group（P lt;0.05）.The oxygen saturation was also significantly better than the control group（P lt;0.05）.The patients in the observation group with sputum viscosity grade I was 30， accounting for 83.33%；while the control group was 18 ， accounting for 52.78%， which was significantly different（P lt;0.05）.Meanwhile， the incidence of postoperative infection in observation group was significantly lower than the control group（P lt;0.05）.Conclusion 100ml pp bottle of oxygen nebulizer mask can effectively improve the situation， inhibit the growth and reproduction of anaerobic bacteria that could lead to wound infection.Also it was easy to maintain the airway humidity， suck out mucus or cough， and induce the sputum to form.In a word， it was worthy of promotion in the coma patients with tracheotomy. Key words：atomizer mask；tracheotomy；oxygen 氧气雾化是临床上最常见的护理操作之一。氧气雾化的治疗效果可直接影响病人肺部感染预防及控制情况[1，2]。对于昏迷气管切开术后患者，临床上通用的