格林巴利病人气管切开术后持续气道湿化的临床护理

Clinical nursing of tracheotomy persistent postoperative airway humidification in patients with guillain-barre

目的:探讨格林巴利患者气管切开术后气道湿化的护理方法。方法:随机选取气管切开术后病人60例,根据痰液粘稠度不同分为I度、Ⅱ度、Ⅲ度3组,每组分为实验组和对照组。实验组24h内持续气道湿化,对照组24h内间断气道湿化。结果:实验组气道湿化情况均优于对照组(P<0.01);实验组刺激性咳嗽、黏膜出血、痰痂形成及肺炎发生率均明显低于对照组(P<0.01)。结论:应用持续的气道内滴药的湿化方法,对气道刺激性小,能减少刺激性咳嗽、黏膜出血、痰痂形成及肺炎等并发症,并能维持较好的肺功能。

Objective： To investigate nursing methods of airway humidification of patients with Guillain-Barre after tracheotomy.Methods： 60 cases of tracheotomy patients were randomly selected,and were divided into grade I,II,III 3 groups based on the sputum viscosity;each group was divided into the experimental group and the control group.Experimental group was given continuous airway humidification within 24 hours and the control group was given intermittent airway humidification within 24 hours.Results： Airway humidification in the experimental group was better than that in the control group（P〈0.01）;irritating cough,mucous membrane bleeding,sputum formation and the incidence of pneumonia in experimental group was significantly lower than that in the control group（P〈0.01）.Conclusion： Continuous airway humidification could reduce the complication after surgery,maintain good lung function.