中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2009年
34期
3594-3596
,共3页
拍背%吸痰%重症肺炎%呼吸机%婴幼儿
拍揹%吸痰%重癥肺炎%呼吸機%嬰幼兒
박배%흡담%중증폐염%호흡궤%영유인
Burp%Suctioning%Severe Pneumonia%Ventilator%Infants
目的 探讨改良式拍背后吸痰在婴幼儿重症肺炎应用呼吸机患儿治疗中的疗效.方法 选择应用呼吸机治疗的小儿重症肺炎60例,随机分成对照组30例和实验组30例.实验组采用改良式拍背后吸痰,对照组采用常规式拍背后吸痰,比较两组患儿吸痰前后血氧分压(PaO2)、二氧化碳分压(PaCO2)的变化及临床疗效.结果 两组患儿吸痰前PaO2、PaCO2的差异无统计学意义(P>0.05);吸痰后实验组PaO2(58.57±12.41) mmHg,PaCO2(42.76±10.51)mm Hg,对照组PaO2(51.31±12.32)mm Hg,PaCO2(48.98±9.86)mm Hg,实验组吸痰前后血气测定的改善情况优于对照组,疗效优于对照组,差异均有统计学意义(P<0.05).结论 采用改良式拍背后吸痰,能明显缩短重症肺炎的患儿使用呼吸机的时间及病程,提高了小儿重症肺炎的治愈率.
目的 探討改良式拍揹後吸痰在嬰幼兒重癥肺炎應用呼吸機患兒治療中的療效.方法 選擇應用呼吸機治療的小兒重癥肺炎60例,隨機分成對照組30例和實驗組30例.實驗組採用改良式拍揹後吸痰,對照組採用常規式拍揹後吸痰,比較兩組患兒吸痰前後血氧分壓(PaO2)、二氧化碳分壓(PaCO2)的變化及臨床療效.結果 兩組患兒吸痰前PaO2、PaCO2的差異無統計學意義(P>0.05);吸痰後實驗組PaO2(58.57±12.41) mmHg,PaCO2(42.76±10.51)mm Hg,對照組PaO2(51.31±12.32)mm Hg,PaCO2(48.98±9.86)mm Hg,實驗組吸痰前後血氣測定的改善情況優于對照組,療效優于對照組,差異均有統計學意義(P<0.05).結論 採用改良式拍揹後吸痰,能明顯縮短重癥肺炎的患兒使用呼吸機的時間及病程,提高瞭小兒重癥肺炎的治愈率.
목적 탐토개량식박배후흡담재영유인중증폐염응용호흡궤환인치료중적료효.방법 선택응용호흡궤치료적소인중증폐염60례,수궤분성대조조30례화실험조30례.실험조채용개량식박배후흡담,대조조채용상규식박배후흡담,비교량조환인흡담전후혈양분압(PaO2)、이양화탄분압(PaCO2)적변화급림상료효.결과 량조환인흡담전PaO2、PaCO2적차이무통계학의의(P>0.05);흡담후실험조PaO2(58.57±12.41) mmHg,PaCO2(42.76±10.51)mm Hg,대조조PaO2(51.31±12.32)mm Hg,PaCO2(48.98±9.86)mm Hg,실험조흡담전후혈기측정적개선정황우우대조조,료효우우대조조,차이균유통계학의의(P<0.05).결론 채용개량식박배후흡담,능명현축단중증폐염적환인사용호흡궤적시간급병정,제고료소인중증폐염적치유솔.
Objective To discussion the curative effect of improved type of exploring behind burp of suctioning applied in infants' evere pneumonia. Methods Select 60 cases of children used the application ventilator to treat with severe pneumonia, randomly divide into control group of 30 cases and experimental group of 30 cases . The test group was treated improved type with behind burp of suctioning,and the contrast group was treated conventional type with behind burp of suctioning. Compared the changes in PaO2、 PaCO2 and clinical curative effect before and after suctioning. Results There is no significant difference intwo groups of patients before suctioning in PaO2 、PaCO2 (P >0. 05). After suctioning in the test group PaO2 was (51. 31 ± 12. 41 ) , PaCO2 was (48. 98 ± 9. 86). The test group was better than the contrast group in improve the situation in measuring blood gas before and after suctioning . So the test group has more effective than the contrast group. The difference was statistically significant (P < 0. 05). Conclusions using the improved type behind burp of suctioning can significantly reduce the suction of children with severe pneumonia in ventilator time and duration, and increase the cure rate of children with severe pneumonia.
