Sheng Honglan, Ni Jie, Zhao Feng, Tian Mi, Zhao Yuhang, Dai Longmei, Li Ting, Xue Yun, Song Zongze, Yu Qiong
Department of Anaesthesiology, Huashan Hospital, Fudan University, Shanghai 200040, China.
Department of Critical Care Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China.
Open Life Sci. 2024 Feb 8;19(1):20220825. doi: 10.1515/biol-2022-0825. eCollection 2024.
Long-term mechanical ventilation after tracheotomy is a common treatment in intensive care unit patients. This study investigated the differences among the effects of different wetting states on the airway, lung, and serum inflammatory factors. New Zealand rabbits ( = 36) were selected to construct tracheotomy models and then divided into four groups: Model, Mask, YTH, and Sham groups. Lung tissue dry/wet ratio was used to evaluate the humidification effect; cytokines, including tumor necrosis factor-α, interleukin (IL)-6, IL-8, and IL-10, were used to evaluate the inflammatory response; hematoxylin and eosin staining was used to evaluate the histopathology. Post hoc analysis based on the Dunnett -test was applied. A self-developed integrated wetting device could increase the utilization of wetting solution, enhance the effect of wetting to protect tissue integrity, and suppress airway inflammation, reducing the expression of pro-inflammatory factors while promoting the expression of anti-inflammatory factor IL-10 to inhibit the inflammatory response, compared to other methods. The integrated humidification device provided a new method for clinical nursing practice, improving clinical efficiency and reducing nursing workload. Further clinical trials are required to test its effectiveness and safety in the clinic.
气管切开术后长期机械通气是重症监护病房患者的常见治疗方法。本研究调查了不同湿化状态对气道、肺和血清炎症因子影响的差异。选取36只新西兰兔构建气管切开模型,然后分为四组:模型组、面罩组、一体化湿化组和假手术组。用肺组织干湿比评估湿化效果;用肿瘤坏死因子-α、白细胞介素(IL)-6、IL-8和IL-10等细胞因子评估炎症反应;用苏木精-伊红染色评估组织病理学。采用基于Dunnett检验的事后分析。与其他方法相比,一种自主研发的一体化湿化装置可提高湿化液利用率,增强湿化效果以保护组织完整性,抑制气道炎症,降低促炎因子表达,同时促进抗炎因子IL-10表达以抑制炎症反应。该一体化湿化装置为临床护理实践提供了一种新方法,提高了临床效率,减轻了护理工作量。需要进一步的临床试验来检验其在临床中的有效性和安全性。