口咽通气管联合气管按压法治疗慢性阻塞性肺疾病急性加重期患者的临床效果

Clinical effect of oropharyngeal airway combined with trachea pressure in the treatment of acute exacerbation of chronic obstructive pulmonary disease

目的探讨口咽通气管联合气管按压法吸痰治疗慢性阻塞性肺疾病急性加重期(AECOPD)患者的临床效果。方法选取泰州市人民医院北院ICU 2015年1月—2016年3月收治的AECOPD患者100例,随机分为对照组和观察组,各50例。对照组患者采用常规经口腔吸痰法治疗,观察组患者采用经口咽通气管联合气管按压法吸痰治疗,比较两组患者吸痰后血氧饱和度(SpO_2)合格率、吸痰间隔时间、每日吸痰次数及每日吸痰量、咳嗽反射及气管插管或气管切开率。并观察比较两组患者口咽黏膜受损情况。结果观察组患者吸痰后SpO_2合格率高于对照组,吸痰间隔时间长于对照组,每日吸痰次数少于对照组,每日吸痰量多于对照组(P<0.05)。在吸痰过程中,观察组患者咳嗽反射次数多于对照组,气管插管或气管切开率低于对照组,口咽黏膜情况优于对照组(P<0.05)。结论口咽通气管联合气管按压法吸痰治疗AECOPD效果明显,可有效改善SpO_2,缓解口咽黏膜受损程度,降低气管插管率或气管切开率。

Objective To investigate the clinical effect of oropharyngeal airway combined with trachea pressure in the treatment of acute exacerbation of chronic obstructive pulmonary disease（ AECOPD）. Methods A total of 100 cases of AECOPD patients were selected from January 2015 to March 2016 in Department of ICU of Jiangsu Taizhou People＇ s Hospital,which were randomly divided into control group and observation group,50 cases in each group. Control group was received conventional oral suction mode,the observation group was given oropharyngeal airway combined with trachea pressure. The reject ratio of SpO_2,sputum interval time,daily suction times,daily suction valve,reflex suction times,tracheal intubation or tracheotomy rate and oropharynx mucosa damage degree were compared between the two groups. Results The observation group of reject ratio of SpO_2 was higher than control group,sputum interval time was longer than control group,daily suction time was less than control group,daily suction valve was more than control group（ P〈0. 05）,and observation group of reflex suction time was more than control group,tracheal intubation or tracheotomy rate was lower than control group,oropharynx mucosa damage degree was better than control group（ P〈0. 05）. Conclusion The clinical effect of oropharyngeal airway combined with trachea pressure in the treatment of AECOPD is exact,it can improve the SpO_2,relief oropharynx mucosa damage degree and lower the tracheal intubation or tracheotomy rate.