一次性湿热交换器在新生儿机械通气长途转运中应用的效果分析

Analysis the Effect of the Application of Disposable Heat and Humidity Exchanger in Long-Distance Transport of Neonatal Mechanical Ventilation

目的探讨研究一次性湿热交换器在新生儿机械通气长途转运中应用的临床意义。方法 2017年1月-2017年12月,我院120转运中心长途转运接收786例机械通气新生儿,786例患儿随机分为常规气道护理(对照组)和转运途中应用一次性湿热交换器组(治疗组),对比转运过程中的吸痰次数、肉眼可见痰痂形成率、堵管发生率、脱管发生率、人机对抗发生率。结果研究数据显示治疗组吸痰次数、肉眼可见痰痂形成率、堵管发生率、脱管发生率、人机对抗发生率有显著性差异(P<0.05)明显低于对照组。结论在机械通气新生儿长途转运中,一次性湿热交换器的可减少转运患儿吸痰次数发生率、降低肉眼可见痰痂形成率、堵管发生率、脱管发生率、人机对抗发生率具有明显优越性,值得推广。

Objective To investigate the clinical significance of disposable heat and humidity exchanger in the long-distance transport of neonatal mechanical ventilation. Methods January 2017-December 2017,786 cases of neonatal mechanical ventilation were received by 120 transit center of our hospital long-distance transport,786 cases randomly divided into normal airway nursing(control group) and transit applications of disposable wet and heat exchanger group(treatment group),compared the number of sputum aspiration in the transport process, the rate of scab formation is visible to the naked eye,tube-blocking rate, tube-detachment rate,the man-machine confrontation rate and radial artery blood gas analysis. Results The study data showed that there were significant differences in sputum aspiration frequency, visible scab formation rate,tube-blocking rate,tube-detachment rate and man-machine confrontation rate between the treatment group and the control group(P<0.05). Conclusion In the long-distance transport of neonates with mechanical ventilation, the one-time wet-heat exchanger can reduce the frequency of sputum aspiration,the visible rate of sputum scab formation, the incidence of tubal blockage,tubal detachment, and the incidence of man-machine confrontation in the transport of children with mechanical ventilation.