摘要
目的 设计一种真空采血管安全头盖与金属气管切开套管的连接装置，以改善金属气管切开套管患者的临床效果。方法 本文选取2020年1月至2022年12月期间我院神经科ICU带气管插管套管的患者60例作为主要的研究对象，按照随机平均分组的方式将患者分为对照组和实验组各30例，对照组采用常规的金属气管切开套管患者护理方法，包括金属气管开套管盖纱块被动湿化，胶布缠绕雾化器雾化等，实验组采用真空采血管安全头盖与金属气管切开套管的连接，对比两组患者的有效湿化、护理舒适度和护理满意度。结果 通过对比，对照组患者的护理舒适度和医护人员满意度均低于实验组患者，P<0.05，差异有统计学意义。结论 本研究所设计的一种真空采血管安全头盖与金属气管切开套管的连接在临床护理应用过程中能够使患者的气道有效湿化提升患者的舒适度和医护人员满意度，当患者出现病情变化时能快速连接人工呼吸球囊、呼吸机等进行抢救，为患者争取了黄金抢救时间，值得在临床中进行大量的应用和推广。
关键词： 气管切开；连接装置；真空采血管安全头盖与金属气管切开套管的连接
Abstract
Objective To design a connection device of vacuum blood vessel safety head cap and metal tracheotomy cannula in order to improve the clinical effect of metal tracheotomy cannula patients. Methods In this paper, 60 patients with tracheal cannula in ICU of neurology department of our hospital from January 2020 to December 2022 were selected as the main research objects, and the patients were divided into control group and experimental group with 30 cases in each group according to random average grouping. The control group was treated with conventional care for patients with metal tracheal cannula. Including passive wetting of metal tracheal tube cover yarn block, tape wrapped atomizer atomization, etc., the experimental group was connected with vacuum blood vessel safety head cover and metal tracheal tube, and compared the effective humidification, nursing comfort and nursing satisfaction of the two groups of patients. Results By comparison, the comfort level of nursing and the satisfaction of medical staff in the control group were lower than those in the experimental group, P<0.05, the difference was statistically significant. Conclusion The connection between the vacuum blood vessel safety head cover and the metal tracheotomy cannula designed by this research institute can effectively humidize the patient's airway and improve the patient's comfort and the satisfaction of medical staff in the process of clinical nursing application. When the patient's condition changes, the artificial breathing balloon and ventilator can be quickly connected for rescue, thus winning the golden rescue time for the patient. It is worthy of extensive application and promotion in clinical practice.
Key words： Tracheotomy; Connecting device; The connection between the vacuum blood vessel safety head cover and the metal tracheotomy tube
参考文献 References
[1] 陈薇薇,杨丹蕾,汪晓红,陈殷钰.金属气管套管封堵头在气管切开患者堵管中的应用效果[J].中国乡村医药,2023, 30(08):50-51.
[2] 洪珊珊,刘利敏,金润女,周洁,韩延泽.集束化护理预防吸入性损伤气管切开患者套管脱出的效果及满意度分析[J].中国当代医药,2022,29(23):190-193.
[3] 彭怀银,李艺君,黄春秒.居家护理在ICU长期留置气管切开套管出院患者中的应用效果[J].智慧健康,2022,8 (17): 172-175.
[4] 陈小眉,华美芳.改良气管切开套管固定法在神经外科重症患者中的应用效果观察[J].护理实践与研究,2022, 19(05):730-732.
[5] Cai Guofeng,Zhuang Zhe,Jia Kunping,Xu Shengnan,Wang Xiuzhen,Pei Siying,Sun Manchao,Cui Cheng,Guo Sihui,Xu Ke,Gao Ziyin,Kang Yun. Effects of cross electro-nape-acupuncture (CENA) on recovery of consciousness and tracheotomy tube sealing in serious cerebral hemorrhage. [J]. American journal of translational research, 2022,14(3).
[6] Hutauruk Syahrial Marsinta,Hermani Bambang,Monasari Putri. Role of chlorhexidine on tracheostomy cannula decontamination in relation to the growth of Biofilm-Forming Bacteria Colony- a randomized controlled trial study[J]. Annals of Medicine and Surgery,2021,67.
[7] Michelutti Alessandro,D'Angelo Matteo,Szulin Michela, Stroppolo Giulia,Bargellesi Stefano,Giorgini Tullio, Quattrin Rosanna, Biasutti Emanuele. The tracheotomy tube weaning in patients with severe acquired brain injury: comparison of two operative procedures in a postacute rehabilitation hospital.[J]. European journal of physical and rehabilitation medicine,2021,57(3).
[8] 王耀娟,周松茂,朱美琴,施景芳.新型气切型防护罩在气管切开留置金属套管病人中的应用效果[J].中国临床神经外科杂志,2021,26(04):294-296.
[9] Ghirelli Michael,Molinari Giulia,Livio Presutti,Mattioli Francesco. Could the replacement of a tracheotomy tube be potentially fatal?[J]. Acta Otorrinolaringologica (English Edition),2021,72(5).
[10] 廖凤.探讨集束化护理方案在预防吸入性损伤气管切开套管脱出中的应用[J].智慧健康,2020,6(36):139-140.
[11] 王杨,孙颖,俞申燕,史冬云.神经外科气管切开患者金属套管与塑料套管的长短期应用效果研究[J].当代护士(下旬刊),2020,27(09):75-77.
[12] 邢娜娜,刘佳欣,汪娟.人工气道患者气道湿化效果及并发症的影响研究[J].临床医学工程,2023,30(04):525-526.