婴儿面罩在超高龄气管切开脱机患者雾化中的效果观察

Observation the Spray Inhalation Effect of Baby Face Mask in the Very Elderly Patients with Tracheotomy During Offline

目的探讨超高龄气管切开患者脱机期间雾化吸入的最佳方案。方法选择我科60例超高龄气管切开患者,脱机期间分为两组,试验组采用婴儿面罩雾化器,调氧流量6~8L/min,取面罩盖于气切口,调绑带松紧度并固定于患者颈部给予雾化吸入;对照组采用口含式雾化器。调氧流量6~8L/min给予雾化吸入。结果试验组用婴儿面罩雾化,湿化效果明显优于直接将雾化器连接在气管切开处,雾化不良反应明显减少,未发生药液倾倒。同时减轻护理工作量,提高患者满意度,差异有统计学意义（P〈0.05）。结论应用婴儿面罩进行雾化治疗,能充分发挥湿化效果,减少患者对冷雾化气体的刺激反应,效果满意,值得推广。

Objective Explore the best treatmerd for spray inhalation for the very elderly patients with tracheotomy during offline. Methods Choose 60 cases of very elderly patients with tracheotomy in departments. They were divided into two groups in the offline period. The observation group applied the baby face mask atomizer,and then controlled oxygen flow in the 6-8L / min,taken the mask cover the incision in the trachea,adjusted tightness of the straps and fixed it in the neck,and then gaue spray inhalation to the patients. The control group used the mouth-contained atomizer,adjusted oxygen flow in the 6-8L / min,and gaue spray inhalation to the patients. Results The humidifing effect of obserration group showed sigmificantly betler than that in control group and its adverse reactions of the spray inhalation decreased significantly. The difference was statistically significant（ P〈0. 05）. Conclusion The spray treatment which apply baby face mask can make full use of humidifying effect and reduce the patient＇s stimulation reaction on cold atomization gas,and can be widely spreaded in clinical application.