综合气道护理管理方案在气管切开患者术后康复中的应用效果

蔡红

（江苏省射阳县人民医院，江苏 盐城，224300）

浏览次数：85次 下载次数：437次

摘要：

目的 探讨综合气道护理管理方案在气管切开患者术后康复中的应用效果。方法 选取2013年1月至2015年12月我院行气管切开术后康复的患者31例为对照组，28例为观察组。对照组采用气管切开常规护理方法实施气道护理管理，观察组采用综合气道护理管理方案。比较两组患者护理后刺激性咳嗽、痰液黏稠、呼吸道黏膜出血等症状改善情况，比较切开置 管时间、住院时间及并发症发生情况。结果 观察组干预后刺激性咳嗽、痰液黏稠及呼吸道黏膜出血症状发生率低于治疗前和对照组（P<0.05）；观察组切开置管时间、住院时间均短于对照组（P<0.05）；观察组并发症发生率低于对照组（P<0.05）。结论 综合气道护理管理方案可改善气管切开术后刺激性咳嗽、痰液黏稠及呼吸道黏膜出血症状，降低并发症发生率，促进患者康复。

关键词：综合气道护理管理方案；气管切开术；术后康复

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2017)22-0185-02

Application of comprehensive airway nursing management program in the patients with postoperative

rehabilitation after tracheotomy
CAI Hong
(People``s Hospital of Sheyang County, Yancheng 224300, China)

ABSTRACT: Objective To explore the effect of comprehensive airway nursing management program in the patients with postoperative rehabilitation after tracheotomy. Methods From January 2013 to December 2015, 31 cases of patients with tracheotomy were selected as control group, and another 28 cases of patients with tracheotomy were selected as observation group. The control group accepted conventional nursing method, and the observation group received comprehensive airway nursing management program. The improved conditions of irritating cough, viscous sputum, respiratory mucosal hemorrhage after nursing, cannulated time, hospitalization time and the incidence of complications between the two groups were compared. Results After nursing, the occurrence rates of irritating cough, viscous sputum and respiratory mucosal hemorrhage in the observation group were lower than those before nursing and in the control group (P <0.05). The cannulated time and hospitalization time in the observation group were shorter than those in the control group (P<0.05). The incidences of complications in the observation group were lower than those in the control group (P <0.05). Conclusion Comprehensive airway nursing management program can improve the conditions of irritating cough, viscous sputum and respiratory mucosal hemorrhage, and reduce the incidence of complications, improve recovery of patients.
KEYWORDS: comprehensive airway nursing management program; tracheotomy; postoperative rehabilitation

参考文献：
[1] 陈晓梅,韩辉,董世笑,等.危重患者长期机械通气时气管切开时机的回顾性研究[J].中国急救医学,2015,(9):832-835,836.
[2] 於霞,戴文英,周郁知,等.气道管理表对神经外科气管切开患者气道管理质量的影响[J].护理与康复,2012,11(1):73-75.
[3] 张玉香.颅脑手术气管切开患者不同吸痰方式的效果比较[J].护士进修杂志,2012,27(17):1613-1615.
[4] 孙龙凤,代冰,王爱平,等.不同气道湿化方法应用于气管切开患者的效果比较[J].中华护理杂志,2013,48(1):16-18.
[5] 陈晓艳,曹玲,仲悦萍.不同气道湿化方法用于颅脑损伤气管切开患者效果比较[J].护理学杂志,2013,28(20):65-67.
[6] 袁丽娟,褚小丽,胡克亮,等.不同气道湿化方法对气管切开患者气道湿化效果的影响[J].现代临床护理,2013,(12):32-34.