气道灌洗治疗吸入性损伤患者的效果观察及护理

摘要

Objective To investigate the effect of airway lavage on patients with inhalation injury.Methods Sixty patients in our department with simple inhalation injury were divided into experimental group(n=30)and control group(n=30).The control group accepted traditional nursing care(aspiration of sputum,aerosol inhalation,backslap and body position adjusting) and the experimental group accepted timed airway lavage and necessary ventilator-assisted breathing in addition to traditional nursing.The arterial blood gas value(PaO2,PaCO2),rate of sputum crab plugging and lung infection were compared.Result The lung function, SpO2 and PaO2 significantly increased and rate of sputum crab plugging and lung infection significantly decreased in experiment group (P<0.05).Conclusion Airway lavage can clear sputum crab in time,improve lung fuction and reduce lung infection of patients with inhalation injury.%目的：探讨气道灌洗治疗吸入性损伤患者的效果。方法将60例吸入性损伤患者分为研究组和对照组，每组各30例，对照组采用传统护理方法，包括吸痰、雾化吸入、叩背等，研究组在此基础上采用气道灌洗，观察两组患者血气分析结果和痰痂堵管及肺部感染发生情况。结果研究组患者肺通气功能优于对照组；痰痂堵管率和肺部感染率低于对照组，两组比较，差异均有统计学意义（P＜0.05）。结论气道灌洗可及时清除吸入性损伤患者气道内痰痂，改善肺通气功能，降低肺部感染发生率。