改良气管套管垫安置法对喉癌术后患者适用性的研究

Study on the Modified Methods to Place Gauze Pad of Tracheal Casing Pipe for Patient Postoperative of Laryngocarcinoma

目的:探讨改良气管套管垫安置法对喉癌术后佩戴气管套管、颈部伤口敷料加压包扎期患者的适用性。方法:采用随机分组的方法将38例喉癌术后佩戴气管套管的患者分为传统组20人和改良组18人,传统组采用"Y"型气管套管垫,改良组采用"-"型气管套管垫,比较两组患者在更换气管套管垫时的SpO2值、SpO2降低值及刺激性咳嗽次数。结果:安置气管套管垫的过程中,改良组SpO2值高于传统组、SpO2降低值低于传统组,且发生刺激性咳嗽的次数也低于传统组,差异有统计学意义(P<0.01)。结论:与传统气管套管垫安置法相比,改良气管套管垫安置法能减少患者换药过程中刺激性咳嗽的次数,对SpO2值影响轻微,更适合于喉癌术后早期颈部伤口敷料加压包扎患者的换药。

Objective：To investigate the effect of modified methods to place gauze pad of tracheal casing pipe for patients.Methods：Thirty-eight patients undergone tracheotomy for laryngocarcinoma were divided into two groups according to the principle of randomization：traditional method group with Twenty patients,under whose tracheal casing pipes the＂Y＂type gauze pads were placed through their belts,and modified method group with Eighteen ones under their tracheal casing pipes the horizontal type gauze pads were placed without transiting under their belts. Results：During the process of placing gauze pads, the change of arterial oxygen saturation （SpO2） anti the counts ot irritable cough of patients in the modified method group are significantly lower than those ones in the traditional method group. Conclusion： Compared with the the traditional method, the modified one will decrease the counts of irritable cough and have a slight effect on SpO2 during the process of placing gauze pads. Undoubtly the modified method is more suitable for the patients undergone tracheotomy for laryngocarcinoma to dress a wound again at the early stage.