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目的探讨防止一次性气管导管堵塞的方法,解决痰痂堵塞导管的护理难题。方法选择81例行气管切开术后留置一次性气管导管的患者,随机分为观察组和对照驵。对照组41例,按气管切开术后导管护理常规进行护理。观察组40例,行留置气管导管的护理常规后,使用液状石蜡对一次性气管导管内壁进行油化处理。结果观察组痰痂出现率7.3%,发生堵塞率2.4%。对照组痰痂出现率26.8%,发生堵塞率15%。两组患者在导管内壁出现痰痂和发生堵塞率比较,P<0.01,差异有显著统计学意义。结论将液状石蜡对留置的一次性气管导管内壁进行油化护理,可降低导管内壁痰痂附着率和导管堵塞的发生率。
Objective To explore a method to prevent one-off endotracheal tube blockage and to solve the nursing problems of clotted sputum tube. Methods A total of 81 patients with tracheal catheter placement after tracheotomy were randomly divided into observation group and control group. Control group of 41 cases, according to tracheostomy catheter care routine care. In the observation group, 40 cases were treated with indwelling tracheal catheter, and then liquid paraffin was used to treat the inner wall of disposable tracheal tube. Results The observation group phlegm appearance rate of 7.3%, the incidence of occlusion rate of 2.4%. The incidence of phlegm in the control group was 26.8%, the incidence of occlusion was 15%. The two groups of patients in the catheter wall sputum scab and occlusion rate comparison, P <0.01, the difference was statistically significant. Conclusion Liquid paraffin on the indwelling disposable endotracheal tube wall oiling care can reduce the catheter wall sputum adhesion rate and the incidence of catheter blockage.