Chinical Study Of Two Kinds Of Humidification Menthods Of No Mechanically Ventilation Tracheal Cannule To My Patients

Objective:To investigate the clinic application of venturi oxygen therapy heated humidify system and continuous micro-injection pump connected heat and moisture Exchanger humidify system on the non-mechanically ventilated patients with tracheal intubation. Comparative study on the Vital signs, Effects of oxygen therapy, humidifying effects, Times of sputum drainage and quantity, incidence of pulmonary complications to provide reference of airway humidification oxygen therapy to clinical nursing staff in order to reduce complications, shorten the intubation time, improve the quality of life in patients.Methods:From June 2014 to December 2015 In a Tertiary Hospital (Affiliated Hospital, JILIN province),60 non-mechanical ly ventilated craniocerebral injury patients with tracheal intubation were randomly divided into two groups. Each group has 30 patients. A group (30 cases) use venture oxygen therapy for humidification and heating, and B group (30 cases) were treated with continuous micro-injection pump connected with heat and moisture Exchanger humidify system. Vital signs, Effects of oxygen therapy, humidifying effects, times of sputum drainage and quantity, incidence of pulmonary complications were compared between these two groups. The time of the observation was 5 days.Results:1. Comparison of general information:There was no statistically significant in the aspects of sex, age, illness Severity between two groups (P >0.05). Comparison of vital signs:The two groups of patients’vital signs (heart rate, respiration, blood pressure) were compared when intervening, the difference was not statistically significant (P>0.05). comparable.2. The differences of heart rate(HR), respiration(RR) and blood pressure(BP) before and after the intervention were statistically significant (P≤0.05) in A group, The differences of heart rate, respiration and blood pressure before and after the intervention were statistically significant (P≤0.05) in B group, The change of heart rate, respiration and blood pressure in each group。 A group and B group were the same as the time。 The heart rate, respiration and blood pressure of A group was decreased compared with B group. The results showed that the treatment effect of A group was better than that of B group.3. Effects of oxygen therapy Comparison:PaO2、PaC02、SaO2 of The two groups were compared when intervening, the difference was not statistically significant (P>0.05). comparable。 PaO2、PaC02、SaO2 of A group before and after intervention were all significance (P>0.05). PaO2、PaCO2、SaO2 of The 1st、2nd、5th days, The difference was statistically significant。5th days of the effect was more significant。PaO2、PaC02、SaO2 of B group before and after intervention are all significance(P>0.05).3rd days of the effect was not significant,5th days of the effect was significant。 PaO2、PaCO2、SaO2 of B group tend to decrease over time. The results showed that the treatment effect of A group was better than that of B group.4. Times of sputum drainage and quantity comparison:Times of sputum drainage and quantity of the two groups were compared when intervening, the difference was not statistically significant (P>0.05). There was statistically significant in the times of sputum drainage and quantity between the A group and the B group before and after the intervention(P≤0.05).5. The humidifying effects comparison:the humidifying effects of the two groups were compared when intervening, the difference was not statistically significant (P>0.05). There was not statistically significant in humidifying effects between the A group and the B group before and after the intervention (P >0.05).5th days of the humidifying effects were statistically significant (P ≤0.05).6. The complication comparison:the airway mucosa injury and Sputum Scab Formation between the two groups the difference was not statistically significant (P>0.05). The incidence of pulmonary complications between the two groups, The difference was statistically significant (P>0.05).Conelus ion:The comparison between venturi oxygen therapy heated humidify system and continuous micro-injection pump connected heat and moisture Exchanger humidify system:1. The former can maintain a stable heart rate and breathing, little fluctuation in blood pressure, patients with good comfort.2.The former can be as early as possible to maintain a normal stable PaCO2, PaO2, SaO2, The latter can slowly increase the PaO2, SaO2, and can lead to the decline of PaCO2.3. The former can effectively reduce the Times of sputum drainage and quantity, and sputum suction stimulation, and also reduce the discomfort of patients,4. The former can achieve satisfactory humidify effect, The latter humidify effect is not constant and easy to cause the excessive or insufficient.5. Both of them had no significant effect on mucosa injury, sputum scab formation and could reduce the incidence of pulmonary infection.