發(fā)布時間：2018-01-14 01:12

  本文關(guān)鍵詞：頸部冰敷聯(lián)合氧氣射流霧化防治氣管內(nèi)麻醉后肺部感染的臨床研究　出處：《中華醫(yī)院感染學(xué)雜志》2015年13期 　論文類型：期刊論文

  更多相關(guān)文章： 氣管切開 氣管內(nèi)麻醉 頸部冰敷 氧氣射流霧化 肺部感染 防治

【摘要】：目的觀察分析頸部冰敷聯(lián)合氧氣射流霧化防治氣管內(nèi)麻醉后肺部感染的臨床效果,減少肺部感染發(fā)生。方法選取2012年3月-2013年3月收治的89例行氣管切開術(shù)患者,隨機(jī)分為觀察組45例和對照組44例,觀察組患者采用頸部冰敷聯(lián)合氧氣射流霧化方法,對照組采用霧化吸入治療,對比兩組患者氣道濕化效果。結(jié)果兩組患者氣道濕化痰栓形成、刺激性咳嗽對比,差異無統(tǒng)計學(xué)意義;觀察組有8.9%的患者出現(xiàn)氣管黏膜出血,明顯低于對照組的13.6%,差異有統(tǒng)計學(xué)意義(P0.05);觀察組患者肺部感染率為46.7%、對照組為77.3%,兩組對比差異有統(tǒng)計學(xué)意義(P0.05);痰液Ⅲ度黏稠度觀察組患者為4.5%,明顯要低于對照組的34.1%,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論頸部冰敷聯(lián)合氧氣射流霧化能夠有效防治氣管內(nèi)麻醉后肺部感染、減少患者的疼痛、降低痰液的黏稠度。
[Abstract]:Objective to observe and analyze the clinical effect of cervical ice compress combined with oxygen jet atomization in preventing and treating pulmonary infection after trachea anesthesia. Methods from March 2012 to March 2013, 89 patients with tracheotomy were randomly divided into observation group (n = 45) and control group (n = 44). Patients in the observation group were treated with cervical ice compress combined with oxygen jet atomization, and the control group were treated with atomization inhalation. Results the airway humidification and phlegm suppository were formed in the two groups, and the irritating cough was compared between the two groups. The difference was not statistically significant. 8.9% of the patients in the observation group had tracheal mucosal hemorrhage, which was significantly lower than that in the control group (P 0.05). The pulmonary infection rate was 46.7 in the observation group and 77.3 in the control group. The difference between the two groups was statistically significant (P 0.05). The concentration of sputum 鈪，

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