程序化气道评估应用于建立人工气道的ICU病房急危重症患者的效果

The effect of programmed airway assessment in ICU patients with emergency and severe disease establishedartificial airway

目的研究程序化气道评估对建立人工气道的ICU病房急危重症患者的应用效果，为ICU气道评估提供参考。方法将2016年1月至2016年8月于本院建立人工气道的40例1CU病患作为此次研究的对照组，2016年9月至2017年7月于本院建立人工气道的40例ICU病患作为此次研究的观察组，对照组患者接受人工气道常规管理，观察组患者同时接受程序化气道评估管理方式进行气道管理，观察统计两组患者在建立人工气道期间人工气道湿化效果、气囊压力合格情况以及床头抬高依从性、带管时间等。结果观察组经程序化气道评估管理方式干预后其湿化效果满意率、气囊压力合格率、床头抬高依从性（77．5％、80％、75％）均显著高于接受常规气道管理的对照组（37．5％、30％、47．5％），且平均带管时间与意外脱管率[（25．54±5．34）h、2．5％】明显比对照组【（36．38±7．27）h、12．5％】更少，经统计分析处理，均P〈0．05。结论对建立人工气道的ICU病房患者实施程序化气道评估，既可以达到满意且理想的湿化效果，确保气道通畅，又可以加强床头抬高监管力度，规范气囊压力管理，降低意外脱管率，有利于患者病情恢复。

Objective To study the application effect of programmed airway assessment in ICU patients with emergency and severe disease established artificial airway, and to provide reference for ICU airway assessment. Methods 40 cases of ICU patients established artificial airway in our hospital from January 2016 to August 2016 were selected as control group; 40 cases of ICU patients established artificial airway in our hospital from September 2016 to July 2017 were selected as observation group. The control group received routine management of artificial airway, and the observation group received programmed airway assessment and management on the basis. Observed artificial airway humidification effect during establishing artificial airway, the pressure of the balloon, bedside elevation compliance, intubation time of the two groups. Results After the intervention, the satisfaction rate of humidification effect, the percent of pass of balloon pressure, the compliance of bedside elevation of the observation group （77.5%, 80%, 75%） were significantly higher than those of the control group （37.5%, 30%, 47.5%）, the average intubatiun time, the rate of unexpected extubation of the observation group [（25.54±5.34）h, 2.5%] were significantly less than those of the control group [（36.38±7.27） h, 12.5%], with statistically significant differences （P〈0.05）. Conclusion Programmed airway assessment in 1CU patients established artificial airway can achieve satisfactory and ideal humidification effect, ensure airway patency, strengthen the supervision of bedside elevation, regulate airbag pressure management, reduce the rate of unexpected extubation, is conducive to patients＇ recovery.