呼吸机延长管在气管切开行高压氧治疗中的应用

The Application of Ventilator Lengthening Tube in Hyperbaric Oxygen Therapy for Patients with Tracheotomy

目的观察和评价分析气管切开患者采用呼吸机延长管行高压氧治疗的效果。方法选取2017年1月—2018年1月收治的75例气管切开患者,按照随机数字法分为研究组(38例)和对照组(37例)。对照组采用常规的吸氧方式,研究组采用呼吸机延长管接高压氧专用吸氧三通管(内置管道通气单向阀)和波纹管连接成一级供氧装置,比较两组患者吸氧方式的完成情况、每次治疗时的吸痰次数及舱内氧浓度。结果研究组患者吸氧方式完成率为97.37%(37/38),高于对照组的81.08%(30/37),差异具有统计意义(P<0.05)。研究组患者吸痰次数为(1.02±0.36)次,少于对照组的(2.32±0.53)次,差异具有统计意义(P<0.05)。研究组住院接受治疗总时间为(16.4±2.4)d,对照组住院接受治疗总时间为(21.7±3.2)d,差异具有统计学意义(P<0.05)。研究组GCS评分均高于对照组,经比较差异有统计学意义(P<0.01)。结论采用呼吸机延长管进行气管切开患者的高压氧治疗,可提高吸氧浓度,保证疗效;降低舱内氧浓度,减少安全隐患;操作方法安全、简便、实用,便于临床推广应用。

Objective To Observe and evaluate the effect of hyperbaric oxygen therapy for patients with tracheotomy using ventilator lengthening tube. Methods 75 patients with tracheotomy in our hospital from January 2017 to January 2018 were divided into the study group（ n = 38 cases） and the control group（ n = 37 cases） according to the random number method. The control group used conventional oxygen inhalation while the study group used the ventilator tube after prolonged special oxygen hyperbaric oxygen pipe three（ built-in ventilation pipe check valve） and bellows connecting an oxygen supply device,compared two groups of patients with oxygen inhalation methods suction phlegm oxygen concentration times and cabin,every time when treating. Results The rate of oxygen inhalation in the study group was 97. 37%（37/38） higher than that of the control group（81. 08%（30/37））,and the difference was statistically significant（ P〈0. 05）. The number of sputum sucking in the study group was（ 1. 02 ± 0. 36） times less than that of the control group（ 2. 32 ± 0. 53）,and the difference was statistically significant（ P〈0. 05）. The total time of hospitalization in the study group was（16. 4 ± 2. 4） d,and the total time of hospitalization in the control group was（ 21. 7 ± 3. 2） d,the difference was statistically significant（WTBX〗P〈0. 05）. The score of GCS in the study group was higher than that of the control group,and the difference was statistically significant（ P〈0. 01）. Conclusion The ventilator extension tube for hyperbaric oxygen therapy in patients with tracheotomy improves the oxygen concentration,ensures the curative effect,reduces the oxygen concentration in the cabin and reduces security risks; the operation method is safe,simple and practical and convenient for clinical application.