全程負壓淺部吸痰聯合氣管內滴藥在喉癌術后護理中的應用效果

孫徽

[摘要]目的 探討全程負壓淺部吸痰聯合氣管內滴藥在喉癌術后護理中的應用效果。方法 選擇2017年1月～2019年6月我院收治的采用全程負壓淺部吸痰聯合氣管內滴藥術后護理的喉癌30例患者作為觀察組，以同期我院收治的術后行常規人工排痰30例喉癌患者作為對照組。比較兩組護理不良事件總發生率、一次性氣管導管清潔度評分、吸痰依從率、滿意度評分。結果 觀察組護理不良事件總發生率為6.67%，低于對照組的30.00%，差異有統計學意義（χ2=4.007，P<0.05）。觀察組一次性氣管導管清潔度評分高于對照組，差異有統計學意義（t=17.146，P<0.05）。觀察組吸痰總依從性為93.33%，高于對照組的66.67%，差異有統計學意義（χ2=5.104，P<0.05）。觀察組滿意度評分高于對照組，差異有統計學意義（t=25.781，P<0.05）。結論 在喉癌術后護理中應用全程負壓淺部吸痰聯合氣管內滴藥有利于保持導管清潔度，降低護理不良事件發生率，提升患者依從性與滿意度，具有推廣使用的臨床價值。

[關鍵詞]全程負壓淺部吸痰;氣管內滴藥;喉癌術后護理;應用效果

[中圖分類號] R473.73? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-4721（2020）5（b）-0228-03

Application effect of whole-course negative pressure superficial suction combined with intratracheal drip in nursing of laryngeal cancer patients after operation

SUN Hui

Department of Surgery， Fushun Fourth Hospital， Liaoning Province， Fushun? ?113123， China

[Abstract] Objective To explore the application effect of whole negative pressure superficial sputum suction combined with intratracheal drip in the nursing of laryngeal cancer patients after operation. Methods From January 2017 to June 2019， 30 patients with laryngeal carcinoma treated in our hospital were selected as the observation group， and 30 patients with laryngeal carcinoma who underwent routine manual sputum excretion were taken as the control group. The total incidence of nursing adverse events， disposable tracheal catheter cleanliness score， sputum aspiration compliance rate and satisfaction score were compared between the two groups. Results The total incidence of nursing adverse events in the observation group was 6.67%， which was lower than that in the control group （30.00%）， with statistical difference （P<0.05）. The cleanliness score of disposable tracheal tube in the observation group was higher than that in the control group， with statistical difference （P<0.05）. The total compliance rate of sputum aspiration in the observation group was 93.33%， which was higher than 66.67% in the control group， with statistical difference （P<0.05）. The satisfaction score in the observation group was higher than that in the control group， with statistical difference （P<0.05）. Conclusion The application effect of whole negative pressure sputum suction combined with intratracheal drip in post-operative nursing of laryngeal cancer is helpful to maintain the cleanliness of the catheter， It has the clinical value of popularization.