“新冠”疫情下一种新型气管切开导管防护装置在口腔肿瘤患者中的应用

doi:10.19438/j.cjoms.2023.02.006

中国口腔颌面外科杂志 ›› 2023, Vol. 21 ›› Issue (2): 137-141.doi: 10.19438/j.cjoms.2023.02.006

“新冠”疫情下一种新型气管切开导管防护装置在口腔肿瘤患者中的应用

王悦平^*, 徐诸凤^*, 施佳敏, 袁卫军^#, 侯黎莉^#

上海交通大学医学院附属第九人民医院护理部,上海 200011

收稿日期:2022-07-27 修回日期:2022-10-12 出版日期:2023-03-20 发布日期:2023-06-12
通讯作者: 侯黎莉,E-mail: pisces_1iz@163.com;袁卫军,E-mail: ywj680711@sina.com。^#共同通信作者
作者简介:王悦平（1980-）,女,本科,副主任护师,E-mail: 18121213995@163.com;徐诸凤（1992-）,女,在读硕士研究生,E-mail: 724047219@qq.com。^*并列第一作者
基金资助:
长三角科技创新共同体领域项目（21002411300）; 上海高水平地方高校创新团队（SHSMU-ZDCX20212301）; 上海交通大学医学院附属第九人民医院护理院基金(JYHL20213D01)

Clinical application of a new protective device for patients undergoing tracheotomy in oral oncology ward during COVID 19

WANG Yue-ping, XU Zhu-feng, SHI Jia-min, YUAN Wei-jun, HOU Li-li

Nursing Department, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2022-07-27 Revised:2022-10-12 Online:2023-03-20 Published:2023-06-12

摘要/Abstract

摘要： 目的： 评价新型气管切开导管防护装置在口腔肿瘤气管切开患者康复期中的应用效果。方法： 选取行气管切开术的口腔肿瘤患者150例,通过随机数字表法分为试验组(n=76)和对照组(n=74)。试验组应用新型气管切开导管防护装置,对照组应用传统方法对气管切口进行防护。比较2组更换防护装置的频次、颈部伤口护理频次、痰液对周围环境的污染程度、并发症发生率、痰液黏稠度、气管切开耗材费用、呼吸频率、血氧饱和度及患者满意度。采用SPSS 21.0软件包对数据进行统计学分析。结果： 试验组在减少气管切开耗材使用以及减少护士临床工作量方面优于对照组;试验组在痰液黏稠度、发生下呼吸道感染率方面低于对照组;试验组在防喷溅效果及满意度方面高于对照组（P<0.05）。新型气管切开导管防护装置的使用,并不影响患者呼吸频率及血氧饱和度。结论： 新型气管切开导管防护装置可有效预防患者痰液喷溅,阻隔病毒细菌侵袭,降低医护人员职业暴露风险及院内感染发生率,减少患者肺部感染发生,降低医疗耗材支出,提高患者满意度。

关键词: 新冠疫情, 口腔肿瘤, 气管切开, 院内感染, 肺部感染, 防护装置

Abstract: PURPOSE: To evaluate the application effect of a new type of gas cutting catheter protection device in the rehabilitation period of patients with tracheotomy after oral tumor surgery. METHODS: A total of 150 patients with oral tumor undergoing tracheotomy were selected. According to random number table, they were divided into experimental group(n=76) and control group(n=74). The experimental group used a new device to cover the tracheotomy, while the control group used traditional method. Patients in both two groups were observed for the frequency of changing covering and neck wound care, the degree of environment pollution, the incidence of complications and satisfaction. RESULTS: The experimental group was better than the control group in reducing medical consumables and clinical workload of nurses; the incidence of lower respiratory tract infection in the experimental group was lower than that in the control group; the anti-splash effect and satisfaction of the experimental group were higher than those of the control group(P<0.05). CONCLUSIONS: The new protective device for tracheotomy tube can prevent sputum splashing, prevent virus and bacteria in the air. It reduces the risk of occupational exposure to medical staff. It also reduces the incidence of pulmonary infection, decreases the expenditure of medical consumables, and helps patients better return to their families and society.

Key words: COVID-19, Oral tumour, Tracheotomy, Nosocomial infection, Pulmonary infection, Protective device

中图分类号:

R473.78

王悦平, 徐诸凤, 施佳敏, 袁卫军, 侯黎莉. “新冠”疫情下一种新型气管切开导管防护装置在口腔肿瘤患者中的应用[J]. 中国口腔颌面外科杂志, 2023, 21(2): 137-141.

WANG Yue-ping, XU Zhu-feng, SHI Jia-min, YUAN Wei-jun, HOU Li-li. Clinical application of a new protective device for patients undergoing tracheotomy in oral oncology ward during COVID 19[J]. China J Oral Maxillofac Surg, 2023, 21(2): 137-141.

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“新冠”疫情下一种新型气管切开导管防护装置在口腔肿瘤患者中的应用

Clinical application of a new protective device for patients undergoing tracheotomy in oral oncology ward during COVID 19

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