选择不同雾化吸入药物预防体外循环术后并发症的临床观察

Clinical observation on the prevention of the complications after extracorporeal circulation by different pulverized inhalations

目的 观察选用不同雾化吸入药物在减少体外循环患者术后呼吸方面并发症的作用。方法 将 1 0 0例体外循环术后患者随机分为治疗组和对照组 ,每组各 50例。对照组采用传统雾化吸入药物 ,治疗组根据患者情况选用不同雾化吸入药物 (沐舒痰、爱喘乐、喘乐宁、肾上腺素 ) ,观察比较两组患者的咳痰困难程度、痰液的黏稠度、排痰难度、肺部音及呼吸系统并发症。结果 治疗组患者咳痰困难程度、痰液的黏稠度、排痰难度、肺部音情况和肺不张发生率明显低于对照组。结论 根据体外循环术后患者呼吸方面的情况有针对性的选用不同雾化吸入药物 ,能减少呼吸系统并发症 。

Objective To observe the effects of reducing respiratory complications after extracorporeal circulation by different pulverized inhalations. Methods One hundred patients were randomly divided into the therapeutic and control group, 50 patients for each group. Traditional pulverized inhalation was adopted in the control group while different pulverized inhalations (include Mucosolvan, Atrovent, Ventolin and adrenalin) were administrated in the therapeutic group according to the patients' situation. Difficulty in expectoration, density of phlegm, pneumonic rale, respiratory complications were recorded and compared. Results The prevalence of high density of phlegm, atelectasis, difficulty in expectoration and pneumonic rale were significantly lower in the therapeutic group than those in the control group. Conclusions After extracorporeal circulation, administration of different pulverized inhalations according to the patients' respiratory situation can reduce the appearance of respiratory complications and improve the nursing quality.