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喉癌术后易发生窒息、肺部感染、气道内出血、切口感染等并发症 ,为减少并发症 ,保持气道湿化 ,痰液稀化 ,减少痰量 ,能轻易咳出 ,本科特制了湿化液 ,并以痰粘稠度确定套管内滴入湿化液的量和时间。套管内滴入湿化液的同时 ,针对喉癌患者自身特点 ,鼓励咳痰 ,早期下床活动。对在我院住院的喉癌手术患者 (治疗组 )与采用常规吸痰法 (对照组 )进行比较 ,结果显示 :治疗组中无一例并发症发生 ,平均住院天数缩短 (治疗组 11.12± 2 .0 8天 ,对照组 13 9± 3.2 7天 ) ,抗生素费用降低 (治疗组 10 42± 15 3 ,12元 ,对照组 2 192 80± 318.78元 ) ,P <0 .0 5 ,差异有显著意义 ,说明套管内滴入法的可行性及实用性 ,可作为喉癌术后气道湿化法的发展方向推广。
Laryngeal cancer prone to suffocation, pulmonary infection, airway bleeding, incision infection and other complications, to reduce complications, maintain airway humidification, sputum thinning, reduce the amount of sputum, can easily cough, undergraduate special Wetting fluid, and to determine the amount of sputum viscosity and the amount of wetting fluid into the cannula and time. Casing drip wet fluid at the same time, for the characteristics of patients with laryngeal cancer, encourage sputum, early ambulation. Compared with the conventional suction method (control group), the patients with laryngeal cancer who were hospitalized in our hospital (treatment group) showed no complication in the treatment group and shortened the average length of stay (treatment group: 11.12 ± 2). 0 8 days, control group 13 9 ± 3.2 7 days), antibiotic costs decreased (treatment group 10 42 ± 15 3,12 yuan, the control group 2 192 80 ± 318.78 yuan), P <0 05, the difference was significant , Indicating that the cannula instillation method is feasible and practical, can be used as the laryngeal airway humidification method after the development of the promotion.