不同气道湿化方法对喉癌术后行气管切开患者睡眠质量及舒适度的影响

Effect of Different Airway Humidification Methods on Sleep Quality and Comfort of Patients Undergoing Tracheotomy after Laryngeal Cancer Surgery

目的:探讨不同气道湿化方法对喉癌术后行气管切开患者睡眠质量及舒适度的影响。方法:选取2019年3月-2021年3月于江门市中心医院治疗的86例喉癌术后行气管切开的患者,按随机数字表法将其分为对照组和观察组,每组43例。对照组采用注射器间歇滴注法,观察组采用注射泵泵入湿化。比较两组睡眠质量、舒适度、湿化效果、吸痰次数、血氧饱和度(SpO_(2))及并发症发生情况。结果:观察组匹茨堡睡眠质量指数量表(PSQI)评分为(5.49±1.50)分,吸痰次数为(18.03±2.57)次,均低于对照组;舒适度评分为(6.02±0.72)分,SpO_(2)为(97.08±1.13)%,均高于对照组,差异均有统计学意义(P<0.05)。观察组湿化满意占比为88.37%,高于对照组;湿化过度及湿化不足占比分别为6.98%和4.65%,均低于对照组,差异均有统计学意义(P<0.05)。观察组刺激性咳嗽发生率低于对照组,差异有统计学意义(P<0.05);两组痰痂、皮下气肿发生率比较,差异均无统计学意义(P>0.05)。结论:在喉癌术后行气管切开患者中采用注射泵泵入湿化效果良好、操作简便,有利于提高患者舒适度,减少刺激性咳嗽发生率及吸痰次数,预防SpO_(2)下降,对患者睡眠影响小,是一种较为有效的气道湿化方法。

Objective:To investigate the effect of different airway humidification methods on sleep quality and comfort of patients undergoing tracheotomy after laryngeal cancer surgery.Method:A total of 86 patients undergoing tracheotomy after laryngeal cancer surgery treated in Jiangmen Central Hospital from March 2019 to March 2021 were selected,they were divided into two control group and observation group according to random number table method,43 cases in each group.The control group was treated with syringe intermittent infusion method,and the observation group was treated with syringe pump for humidification.Sleep quality,comfort,humidification effect,sputum aspiration times,blood oxygen saturation (SpO_(2)) and complications were compared between two groups.Result:The score of Pittsburgh sleep quality index scale (PSQI) was (5.49±1.50) points and times of sputum aspiration was (18.03±2.57) times in the observation group,which were lower than those in the control group,while the comfort scores was (6.02±0.72) points,and SpO_(2) was (97.08±1.13)% in the observation group,which were higher than those in the control group,the differences were statistically significant (P<0.05).The proportion of satisfied humidification was 88.37% in the observation group,which was higher than that in the control group,the proportion of over-humidification and under-humidification were 6.98% and 4.65%,which were lower than those in the control group,the differences were statistically significant (P<0.05).The incidence of irritant cough in the observation group was lower than that in the control group,the difference was statistically significant (P<0.05).There were no significant differences in the incidence of sputum scab and subcutaneous emphysema between two groups (P>0.05).Conclusion:In patients undergoing tracheotomy after laryngeal cancer surgery,the syringe pump pumped for humidification has a good effect and simple operation,which is beneficial to improve the comfort of patients,reduce the incidence of irritating cough and the number of sputum aspiration,prevent the decline of SpO_(2),and has little influence on patients’ sleep.Therefore,it is a relatively effective method of airway humidification.