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目的:探讨气切面罩型雾化器在气管切开患者吸氧中的临床应用意义。方法:将我院神经外科2013年1月至2015年12月收治的气管切开患者62例随机分为对照组和观察组,对照组30例在气管切开术后采用传统吸氧方法即气管套管内用氧管给氧;观察组32例在气管切开术后使用气切面罩型雾化器连接中心供氧装置给氧,比较两组患者吸氧后24小时的经皮氧饱和度(Sp O2)数值、发生无效供氧的次数和痰痂例数。结果:观察组吸氧后24小时的Sp O2明显高于对照组[(97.53±0.83)%vs(95.13±0.74)%,P<0.05],观察组发生无效供氧的次数显著低于对照组(22次vs 245次,P<0.01),观察组发生痰痂的例数显著低于对照组(2次vs 13次,P<0.01)。结论 :气切面罩型雾化器对气管切开患者的氧疗效果明显优于传统的气管套管内氧管吸氧法,建议在临床推广应用。
Objective: To investigate the clinical significance of gas mask type nebulizer in patients with tracheotomy oxygen. Methods: Totally 62 tracheotomy patients who were admitted to Department of Neurosurgery from January 2013 to December 2015 were randomly divided into control group and observation group. In the control group, 30 patients underwent tracheotomy using traditional oxygen inhalation method Oxygen tube was oxygenated in the cannula. In the observation group of 32 cases, the oxygen supply device was used to connect oxygen to the central oxygen supply device after the tracheotomy, and the percutaneous oxygen saturation 24 hours after oxygen inhalation Sp O2) values, the number of invalid oxygen supply and sputum scab cases. Results: Sp O2 24 hours after the oxygen inhalation in the observation group was significantly higher than that in the control group [(97.53 ± 0.83)% vs (95.13 ± 0.74)%, P 0.05]. The times of invalid oxygen supply in the observation group were significantly lower than those in the control group (22 vs 245, P <0.01). The number of sputum scabs in the observation group was significantly lower than that in the control group (2 vs 13 times, P <0.01). Conclusion: The gas-mask type nebulizer has a better oxygen therapy effect on tracheotomy patients than traditional tracheal tube oxygen tube oxygen inhalation method, which is recommended for clinical application.