颅脑损伤气管切开术后不同气道湿化方法的效果比较

摘要

Abstract：Objective To compare the two different airway humidification methods for craniocerebral injury patients with tracheotomy. Methods  Totally 60 craniocerebral injury patients with tracheotomy were assigned to the observation group and the control group, with 30 cases in each group. The continuous minipump infusion was adopted as the airway humidification method in the control group, while the continuous humidification combined with intermittent oxygen atomization inhalation. The airway humidification efficacy, sputum viscosity and airway adverse reactions were compared between two groups. Results  There were 5 cases of over-humidification in the observation group and 16 cases of over-humidification in the control group, with a significant difference(P0.05). The level of α-acid glycoprotein in sputum was lower in observation group than that of controls at day 1, 3 and 5 after tracheotomy(P0.01). The incidence of airway adverse reactions such as pulmonary infection, irritable cough was lower in the observation group than that of controls(P0.05 or P0.01). Conclusion  Continuous humidification combined with intermittent oxygen atomization inhalation shows a better effect in airway humidification and sputum excretion for craniocerebral injury patients with tracheotomy.