黄幼平

[摘要] 目的 研究分析自制外固定套在气管切开术后吸氧及持续气道湿化患者中的应用。方法 将在我院进行气管切开的80例患者随机分为实验组和对照组，各40例。对照组患者未采用自制外固定套的方法对持续气道湿化进行护理，而实验组患者采用自制外固定套的方法对持续气道湿化进行护理。比较两组患者的临床疗效及患者的舒适情况。 结果 实验组患者的总有效率（87.50%）明显高于对照组（62.50%），差异有统计学意义（P<0.05）；实验组患者的舒适率（85.00%）明显高于对照组（60.00%），差异有统计学意义（P<0.05）。结论 自制外固定套对于气管切开的患者能有效地使氧疗及气道湿化得到保证，并且有防尘的作用，护士工作量也得到减轻。

[关键词] 自制外固定套；气管切开；吸氧；持续气道湿化

[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701（2014）17-0144-03

The application of self-made external fixed sleeve oxygen in tracheotomy and continuous airway humidification patients

HUANG Youping

Department of ICU， the Fifth People's Hospital of Foshan City in Guangdong Province， Foshan 528211， China

[Abstract] Objective To study the analysis of application of the self-made external fixed sleeve oxygen in tracheotomy and continuous airway humidification patients. Methods Eighty cases of tracheotomy patients were randomly divided into the experimental group and the control group of two groups in our hospital， each of 40 patients. Patients in the control group did not use the fixed set of methods made of continuous airway humidification nursing， while the experimental group were treated with self-made external fixation sleeve of continuous airway humidification of nursing. The clinical efficacy and patients in two groups of patients with comfort were compared. Results The total efficiency rate of the experimental group was significantly higher than that of control group in the total efficiency（87.50% vs 62.50%）， was statistically significant（P<0.05）； Comfortable rate was better than that of the experimental group in the control group， there were statistical significance（85.00% vs 60.00%， P<0.05）. Conclusion The self-made fixed sleeve for tracheotomy patients can effectively make the oxygen therapy and airway humidification guaranteed， and the role of dust， the workload of nurses have been reduced.

[Key words] Self-made external fixed sleeve； Tracheotomy； Oxygen； Continuous airway humidification

近年来，气管切开患者的发生率逐年升高，并且切除后并发症的发生率也比较高，严重威胁患者的生活质量。为了使患者的呼吸道梗阻得到有效的解除，气管切开是保障患者通气较常见的措施之一。气管切开可以使吸痰的效果有效改善，进而通过减少呼吸道死腔及有效通气的增加[1]使患者缺氧症状及通气功能好转。气管切开后的患者由于失去对空气的加湿、清洁及过滤等功能，吸入较干燥的空气，使气管黏膜上皮容易受到伤害，会使患者的上皮细胞炎症加重，气道内的分泌物增加，进而使患者的呼吸道堵塞[2]。所以有效的气道湿化及吸氧对气管切开患者的临床应用必不可少。本研究采用了自制外固定套的方法来固定行气管切开患者的吸氧管及气道湿化管，现将研究结果报道如下。

1资料与方法

1.1临床资料

将2011年7月～2014年1月我院ICU病房收治的80例行气管切开的各种危重症患者随机分为实验组和对照组，每组各40例。……