持续气道湿化护理对神经外科气管切开患者并发症的影响

Effect of Continuous Airway Humidification Nursing on Complications of Patients Undergoing Tracheotomy in Department of Neurosurgery

目的:探究神经外科气管切开患者采取持续气道湿化护理对并发症的影响。方法:选择2016年1月-2017年9月期间在我院神经外科进行气管切开治疗的50例患者作为对照组,选择2017年10月-2018年6月期间在我院神经外科进行气管切开治疗的50例患者作为观察组,对照组采取间断气道湿化护理,观察组采取持续气道湿化护理,比较两组气道湿化后并发症发生率及血气分析指标[动脉血氧分压(PaO2)与血氧饱和度(SpO2)]。结果:观察组气道湿化后气道黏膜出血、肺部感染、刺激性咳嗽、痰栓形成的发生率均低于对照组,差异有统计学意义(P<0.05);观察组PaO2、SpO2水平均高于对照组,差异有统计学意义(P<0.05)。结论:与间断气道湿化护理相比,持续气道湿化护理可减少神经外科气管切开患者并发症发生率,改善血气分析指标,保障湿化效果。

Objective:To explore the effect of continuous airway humidification nursing on complications in patients with tracheotomy in neurosurgery.Methods:From January 2016 to September 2017,50 patients with tracheotomy in the neurosurgery department of our hospital were selected as the control group,50 patients with tracheotomy in the neurosurgery department of our hospital from October 2017 to June 2018 were selected as the observation group,the control group was given intermittent airway humidification nursing,and the observation group was given continuous air.The incidence of complications after airway humidification and blood gas analysis indexes[arterial oxygen partial pressure(PaO2)and blood oxygen saturation(SpO2)]were compared between the two groups.Results:The incidence of airway mucosal bleeding,pulmonary infection,irritant cough and phlegm thrombus formation in the observation group were lower than those in the control group(P<0.05),and the levels of PaO2 and SpO2 in the observation group were higher than those in the control group(P<0.05).Conclusion:Compared with intermittent airway humidification nursing,continuous airway humidification nursing can reduce the incidence of complications in neurosurgical patients with tracheotomy,improve blood gas analysis index,and ensure humidification effect.