中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2011年
10期
13-15
,共3页
纤维支气管镜%机械通气%呼吸衰竭%护理干预
纖維支氣管鏡%機械通氣%呼吸衰竭%護理榦預
섬유지기관경%궤계통기%호흡쇠갈%호리간예
Fiberoptic bronchoscopy%Mechanical ventilation%Respiratory failure%Nursing intervention
目的 探讨纤维支气管镜(简称纤支镜)在呼吸衰竭机械通气患者中应用的临床意义及护理干预.方法 将64例呼吸衰竭机械通气的患者随机分为对照组和治疗组各32例.2组患者均给予全身抗感染、雾化吸入等对症支持治疗及相应护理.治疗组予床边纤支镜肺泡灌洗治疗,对照组常规吸痰治疗.分析比较2组治疗前后的症状、体征及血气分析变化情况.结果 2组的有效率、治愈率比较差异显著;治疗组血气变化、肺部感染控制窗时间、机械通气时间及平均住院时间优于对照组;治疗组成功撤机、器官衰竭及院内死亡例数显著低于对照组.结论 呼吸衰竭机械通气患者行纤支镜肺泡灌洗可改善通气和预后,是安全、有效的.护理干预对提高纤支镜吸痰及灌洗术的成功率起到了不可忽视的重要作用,达到良好的治疗及护理效果.
目的 探討纖維支氣管鏡(簡稱纖支鏡)在呼吸衰竭機械通氣患者中應用的臨床意義及護理榦預.方法 將64例呼吸衰竭機械通氣的患者隨機分為對照組和治療組各32例.2組患者均給予全身抗感染、霧化吸入等對癥支持治療及相應護理.治療組予床邊纖支鏡肺泡灌洗治療,對照組常規吸痰治療.分析比較2組治療前後的癥狀、體徵及血氣分析變化情況.結果 2組的有效率、治愈率比較差異顯著;治療組血氣變化、肺部感染控製窗時間、機械通氣時間及平均住院時間優于對照組;治療組成功撤機、器官衰竭及院內死亡例數顯著低于對照組.結論 呼吸衰竭機械通氣患者行纖支鏡肺泡灌洗可改善通氣和預後,是安全、有效的.護理榦預對提高纖支鏡吸痰及灌洗術的成功率起到瞭不可忽視的重要作用,達到良好的治療及護理效果.
목적 탐토섬유지기관경(간칭섬지경)재호흡쇠갈궤계통기환자중응용적림상의의급호리간예.방법 장64례호흡쇠갈궤계통기적환자수궤분위대조조화치료조각32례.2조환자균급여전신항감염、무화흡입등대증지지치료급상응호리.치료조여상변섬지경폐포관세치료,대조조상규흡담치료.분석비교2조치료전후적증상、체정급혈기분석변화정황.결과 2조적유효솔、치유솔비교차이현저;치료조혈기변화、폐부감염공제창시간、궤계통기시간급평균주원시간우우대조조;치료조성공철궤、기관쇠갈급원내사망례수현저저우대조조.결론 호흡쇠갈궤계통기환자행섬지경폐포관세가개선통기화예후,시안전、유효적.호리간예대제고섬지경흡담급관세술적성공솔기도료불가홀시적중요작용,체도량호적치료급호리효과.
Objective To investigate the application and nursing care of bronchoalveolar lavage (BAL)by fiberoptic bronchoscopy in patients with mechanical ventilation. Methods 64 patients with mechanical ventilation in RICU were randomly divided into the control group and the observation group with 32 patients in each group. The patients in both groups were accepted anti-infection, atomization inhalation and other supportive treatments. The patients in the observation group were treated with BAL, and the patients in the control group accepted routine treatment. The therapeutic effects in the two groups were evaluated and compared. Results There was significant difference in the recovery rate and effective rate, the blood gas analysis compared with the control group was significantly improved, the time of pulmonary infection control window, mechanical ventilation, length of stay were shorter than the control group. The case number to remove ventilator successfully, organs failure and hospital mortality were less than the control group. Conclusions Fiberoptic bronchoscopy with BAL treatment could be safety and efficacy for patients with mechanical ventilation. Nursing intervention plays an important role and a good therapeutic effect for improving achievement ratio of BAL.