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目的:探讨碳酸氢钠联合氨溴索对气管切开患者气道湿化的疗效。方法:行气管切开术患者108例随机分为观察组与对照组各54例。对照组采用传统的间断或定时湿化法,观察组采用碳酸氢钠联合氨溴索气道湿化。观察时间为1周。比较两组患者湿化满意情况,痰液黏稠度情况,肺部感染情况及药品不良反应。结果:观察组湿化满意率明显高于对照组(P<0.05),黏稠度I度比例明显高于对照组(P<0.05),肺部感染率明显低于对照组(P<0.05)。治疗期间未见明显药品不良反应。结论:碳酸氢钠联合氨溴索气道湿化对气管切开患者疗效满意,且可降低肺部感染,值得推广应用。
Objective: To investigate the curative effect of sodium bicarbonate and ambroxol on airway humidification in tracheotomy patients. Methods: 108 cases of tracheotomy patients were randomly divided into observation group and control group of 54 cases. The control group using the traditional intermittent or regular wet method, the observation group using sodium bicarbonate combined with ambroxol airway humidification. Observation time was 1 week. The two groups of patients were compared with the satisfaction of wet conditions, sputum viscosity, lung infections and adverse drug reactions. Results: The satisfaction rate of humidification in the observation group was significantly higher than that of the control group (P <0.05). The viscosity of I group was significantly higher than that of the control group (P <0.05). The lung infection rate was significantly lower than that of the control group (P <0.05). No obvious adverse drug reaction during the treatment. CONCLUSION: Sodium bicarbonate combined with ambroxol in airway humidification is effective in tracheotomy patients and can reduce pulmonary infection, which is worth popularizing and applying.