改良版氧气射流雾化在重症康复患者人工气道湿化中的应用 

邱茂琪 高鹏勤 罗忠纯 杨雪 刘茂霖 

乐山市人民医院，四川乐山，614000； 

摘要：目的：探讨应用一种改良版氧气射流雾化对重症康复患者气道湿化的效果。方法 将 100 例行气管切开重 症康复患者随机分为观察组和对照组各 50 例，观察组采用改良版氧气射流雾化，对照组采用常规氧气射流雾化。 观察两组痰液粘稠度、痰量记录准确性、伤口浸渍程度、患者换药次数及费用，患者及医务人员满意度。结果 两 组患者气切纱布保持干燥时间、痰液性状观察记录、伤口浸渍程度、满意度均有统计学意义（均 P<0.05）。结论 采用改良版氧气射流雾化后气道湿化效果更好，气切口痰液清理方便，预防患者伤口及气道口浸渍，提高患者和 医务人员的满意度。 

关键词：改良版氧气射流雾化；重症康复；气管切开术；气道湿化；护理 

Application of a modified version of oxygen jet atomization in artificial airway humidification in patients with severe rehabilitation 

Qiu Maoqi, Gao Pengqin, Luo Zhongchun, Yang Xue, Liu Maolin 

Leshan City People's Hospital, Leshan City, Sichuan Province, 614000 

Abstract: Objective: To investigate the effect of a modified oxygen jet atomization on airway humidification in severe patients. Methods 100 patients undergoing tracheotomy were randomly divided into 50 patients of the observation group. The observation group used a modified version of oxygen jet and the control group used a conventional oxygen jet. Two groups of sputum viscosity, accuracy of sputum volume recording, wound immersion degree, number of dressing changes and cost of patients were observed, and the satisfaction of patients and medical staff. Results The dry time, the sputum character observation record, wound immersion degree, and satisfaction (P <0.05). Conclusion The modified version of the oxygen jet is better, prevent the wound and the gas opening, and improve the satisfaction of patients and medical staff. 

Key words: modified version of oxygen jet atomization; severe rehabilitation; tracheotomy; airway humidification; nursing

参考文献;

[1]胡祥莹,俞蕾蕾,胡嘉乐,等.运用 Delphi 法确立国 内成人病人人工气道湿化护理循证实践方案[J].护理 研究,2016,30(34):4255-4258. 

[2]庞启英,戈娜.人工气道患者微量泵持续气道湿化 与间断气道湿化效果的Meta分析[J].护理学报,2011, 18(24):33-37. 

[3]李敏，潘玲，李惠芳，等，重症医学科非机械通气 患者气管切开人工气道湿化新进展［J］．当代护士， 2018，25（7）：16-18

[4］张学军．皮肤性病学［M］．第 6 版．北京：人民 卫生出版社，2004：22．

[5］冯洁惠，徐建宁，俞超．ICU 失禁相关性皮炎防控 指引的制订及临床应用［Ｊ］．中华护理杂志，2014， 49（12）：1483-1486．