颈部冰敷联合氧气射流雾化防治气管内麻醉后肺部感染的临床研究

发布时间：2018-01-14 01:12

  本文关键词：颈部冰敷联合氧气射流雾化防治气管内麻醉后肺部感染的临床研究　出处：《中华医院感染学杂志》2015年13期 　论文类型：期刊论文

  更多相关文章： 气管切开 气管内麻醉 颈部冰敷 氧气射流雾化 肺部感染 防治

【摘要】：目的观察分析颈部冰敷联合氧气射流雾化防治气管内麻醉后肺部感染的临床效果,减少肺部感染发生。方法选取2012年3月-2013年3月收治的89例行气管切开术患者,随机分为观察组45例和对照组44例,观察组患者采用颈部冰敷联合氧气射流雾化方法,对照组采用雾化吸入治疗,对比两组患者气道湿化效果。结果两组患者气道湿化痰栓形成、刺激性咳嗽对比,差异无统计学意义;观察组有8.9%的患者出现气管黏膜出血,明显低于对照组的13.6%,差异有统计学意义(P0.05);观察组患者肺部感染率为46.7%、对照组为77.3%,两组对比差异有统计学意义(P0.05);痰液Ⅲ度黏稠度观察组患者为4.5%,明显要低于对照组的34.1%,差异有统计学意义(P0.05)。结论颈部冰敷联合氧气射流雾化能够有效防治气管内麻醉后肺部感染、减少患者的疼痛、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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