Respiratory tract nursing after tracheotomy in ICU patients
ICU患者气管切开后的呼吸道护理

摘要

目的：探析ICU患者气管切开后呼吸道护理的方法和临床效果。方法：本研究开展时间为2019年1月~2019年12月，选取该时间段在我院接受气管切开术的ICU患者90例作为主要研究对象。对所有患者的临床资料进行回顾性分析，明确具体护理方法。本研究中所有的研究对象，均接受一般护理、吸氧、吸痰、人工管道、气道湿化、口腔等方面的护理，接受护理后，统计患者的临床状况，并对相关数据进行统计，尤其是护理效果。结果：根据患者的临床状况分析得知，对患者实施全面的护理后，分析患者的呼吸道通畅情况，90例患者均能够保持，并且患者的意识在逐步恢复，本次研究对象拔管的平均时间为20d。90例患者中出现呼吸道感染的患者19例，感染率为（21.11%），对感染患者实施针对性治疗后，感染情况均得到控制，此类患者的平均拔管时间为70d。另外，本研究中患者的生存率为87.78%（79/90），相对以往生存率较高。结论：通过分析得知，使用有效的呼吸道护理方法对ICU气管切开患者进行护理，能够有效的提高患者的生存质量，不仅能够减少患者的呼吸道感染情况，还能够促进患者的恢复。

Abstract

Objective: To explore the methods and clinical effects of airway nursing after tracheotomy in ICU patients.
Methods: The study was conducted from January 2019 to December 2019. It is convenient to select 90 patients with ICU who underwent tracheotomy in our hospital as the main research object. Perform a retrospective analysis of the clinical data of all patients to clarify specific nursing methods. All the research subjects in this study received general nursing, oxygen suction, sputum suction, artificial pipeline, airway humidification, oral cavity and other aspects of care. After receiving care, the clinical status of the patients was counted and related data were counted. Especially the nursing effect.
Results: According to the analysis of the patient's clinical status, after comprehensive care of the patient, the patient's airway patency was analyzed, 90 patients were able to maintain, and the patient's consciousness was gradually recovering, the average time of extubation in this study was 20d. Among the 90 patients, 19 had respiratory tract infections, and the infection rate was (21.11%). After the targeted treatment of the infected patients, the infection status was all controlled. The average extubation time for these patients was 70 days. In addition, the survival rate of patients in this study was 87.78% (79/90), which was higher than the previous survival rate.
Conclusion  : Through analysis, we know that using effective respiratory care methods to care for patients with ICU tracheotomy can effectively improve the quality of life of patients, not only can reduce the respiratory infections of patients, but also can promote the recovery of patients.