自制新型气切套管用雾化组件在气管切开患者中的应用效果

Application effect of self-made new atomizing assembly for gas cutting cannula in tracheotomy patients

目的探讨自制新型气切套管用雾化组件在气管切开患者中的应用效果。方法选取2019年1月至2022年1月河北医科大学第三医院急诊重症监护病房收治的经皮旋转扩张气管切开术(PSDT)患者60例作为研究对象,按照随机数字表法将其分为对照组29例和试验组31例,对照组行常规普通雾化方法干预,试验组行自制新型气切套管用雾化组件干预,比较两组吸痰时生命体征、气道湿化效果及术后并发症发生率。结果试验组吸痰时的生命体征中气道阻力、血压和心率低于对照组,血氧高于对照组(P<0.05)。试验组气道湿化效果优于对照组(P<0.05)。试验组无术后肺部感染,对照组术后肺部感染发生率为20.69%,试验组术后肺部感染发生率低于对照组(P<0.05)。结论在改良PSDT治疗过程中科学、合理地应用自制新型气切套管用雾化组件进行辅助干预,能有效提高急诊重症监护病房患者的临床效果,改善身体机能,降低术后肺部感染。有良好的临床应用与推广价值。

Objective To investigate the application effect of self-made new atomizing assembly for gas cutting cannula in tracheotomy patients.Methods Sixty patients with percutaneous spin dilatation tracheotomy(PSDT)admitted to the Emergency Intensive Care Unit of the Third Hospital of Hebei Medical University from January 2019 to January 2022 were selected as the study objects,according to random number table method,they were divided into control group(29 cases)and experimental group(31 cases),the control group was treated with conventional atomization methods,the experimental group was treated with self-made atomizing components for gas cutting cannula,the vital signs during sputum aspiration,the effect of airway humidification and the incidence of postoperative complications were compared between the two groups.Results The vital signs of airway resistance,blood pressure and heart rate during sputum aspiration in experimental group were lower than those in control group,and blood oxygen was higher than that in control group(P<0.05).Airway humidification effect of experimental group was better than that of control group(P<0.05).There was no postoperative pulmonary infection in the experimental group,and the incidence of postoperative pulmonary infection in control group was 20.69%,the incidence of postoperative pulmonary infection in the experimental group was lower than that in the control group(P<0.05).Conclusion In the process of improving PSDT treatment,self-made new atomizing assembly for gas cutting cannula was scientifically and reasonably applied to assist the intervention,it can effectively improve the clinical effect of emergency intensive care unit patients,improve physical function,and reduce postoperative pulmorary infection.It has good clinical application and popularization value.