镇痛泵持续滴注法用于气管切开患者湿化气道的效果观察

THE CLINICAL RESEARCH OF THE RELATIONSHIP AMONG METHODS OF DROPS IN CANNULA,TIME AND COMPLICATION AFTER TRACHEOTOMY

目的观察气管切开患者应用镇痛泵持续滴注法湿化气道的疗效。方法将60例气管切开患者随机分成治疗组和对照组各30例,对照组采用注射器定时间断湿化法,治疗组采用镇痛泵持续湿化滴注法,两种方法应用后从临床效果、患者住院天数及使用抗生素费用等三个方面进行对比和统计。结果治疗组并发症发生率5%,对照组并发症发生率30%,两者差别明显;平均住院天数治疗组(21.12±2.08)天,对照组(33.9±3.27)天;抗生素费用治疗组(1042±153.12)元,对照组(2192.80±318.78元),p<0.05,差异有显著意义。结论镇痛泵持续滴注法可有效预防痰痂形成、肺部感染、气道黏膜损伤出血等并发症,减少刺激咳嗽和吸痰次数,并可以减轻吸痰所致的低氧血症程度,减少患者痛苦和护士工作量,提高工作效率。此方法简单、安全、有效、并发症少,减轻患者痛苦和护士工作量,提高工作效率,有一定的推广应用价值。

Objective To study the relationship among methods of drops in cannula, time and the complication after tracheotomy,to reduce the occerrence of complication. Methods Patients of tracheotomy were selected and divided into two groups, experiment group adopted the drops of moistening solution from cannula, control group adapted routine sputum attraction. Results There is no complication occurred in experiment group, the average days of hospitalization was 21.12 ± 2. 08 days in experiment group,33.9 ± 3.27 days in control group, the cost of antibiotics was reduced also in experiment group which is 1 042 ± 153. 12 yuan,for control group is 2 192. 8 ±318.78 yuan,there is significant difference between the two groups （p 〈 0. 05）. Conclusion The method of drops from cannula is workable, and practicable, It cam be used for track humidification after tracheotomy.