中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
13期
92-94
,共3页
拍背%颅脑损伤%气管切开%气囊压力
拍揹%顱腦損傷%氣管切開%氣囊壓力
박배%로뇌손상%기관절개%기낭압력
Knock the back%Craniocerebral injury%Tracheotomy%Pressure in airbag
目的：观察拍背对重症颅脑损伤患者气管切开气囊压力的影响。方法：选取2012年7月-2013年7月在本院ICU住院的30例重症颅脑损伤并气管切开的患者，采用专用气囊压力表测量气囊压力，分别在三餐前30 min及三餐后2 h由同一名护士进行拍背，观察比较拍背前后平均气囊压力变化和不良反应发生情况。结果：共观察记录90例次拍背前后气囊压力。拍背后气囊压力无变化者6例次，占6.7%，有变化者占84例，占93.3%。拍背后平均气囊压力（25±3.6）cm H2O明显低于拍背前的（28±2.4）cm H2O，差异有统计学意义（t=4.128，P<0.01）。拍背后的不良反应发生率26.7%明显低于拍背前的96.7%，差异有统计学意义（t=31.093， P<0.01）。结论：在拍背后应注意监测气囊压力，调整气囊容积，以保持最佳的气囊压力，减少不良反应，从而防止气囊漏气及吸入性肺炎的发生。
目的：觀察拍揹對重癥顱腦損傷患者氣管切開氣囊壓力的影響。方法：選取2012年7月-2013年7月在本院ICU住院的30例重癥顱腦損傷併氣管切開的患者，採用專用氣囊壓力錶測量氣囊壓力，分彆在三餐前30 min及三餐後2 h由同一名護士進行拍揹，觀察比較拍揹前後平均氣囊壓力變化和不良反應髮生情況。結果：共觀察記錄90例次拍揹前後氣囊壓力。拍揹後氣囊壓力無變化者6例次，佔6.7%，有變化者佔84例，佔93.3%。拍揹後平均氣囊壓力（25±3.6）cm H2O明顯低于拍揹前的（28±2.4）cm H2O，差異有統計學意義（t=4.128，P<0.01）。拍揹後的不良反應髮生率26.7%明顯低于拍揹前的96.7%，差異有統計學意義（t=31.093， P<0.01）。結論：在拍揹後應註意鑑測氣囊壓力，調整氣囊容積，以保持最佳的氣囊壓力，減少不良反應，從而防止氣囊漏氣及吸入性肺炎的髮生。
목적：관찰박배대중증로뇌손상환자기관절개기낭압력적영향。방법：선취2012년7월-2013년7월재본원ICU주원적30례중증로뇌손상병기관절개적환자，채용전용기낭압력표측량기낭압력，분별재삼찬전30 min급삼찬후2 h유동일명호사진행박배，관찰비교박배전후평균기낭압력변화화불량반응발생정황。결과：공관찰기록90례차박배전후기낭압력。박배후기낭압력무변화자6례차，점6.7%，유변화자점84례，점93.3%。박배후평균기낭압력（25±3.6）cm H2O명현저우박배전적（28±2.4）cm H2O，차이유통계학의의（t=4.128，P<0.01）。박배후적불량반응발생솔26.7%명현저우박배전적96.7%，차이유통계학의의（t=31.093， P<0.01）。결론：재박배후응주의감측기낭압력，조정기낭용적，이보지최가적기낭압력，감소불량반응，종이방지기낭루기급흡입성폐염적발생。
Objective:To observe the influence of pressure in airbag when knocking the back to severe craniocerebral patients combined with tracheotomy.Method:30 severe craniocerebral injury patients combined with tracheotomy in our ICU department from July 2012 to July 2013 were selected,pressure in airbag were measured by special air pressure gauge,the same nurse knocked the patient’s back when Before meals 30 min and 2 hours after meals respectively.The average air pressure changes and the occurrence of adverse reactions before and after knocking the back were observed and compared.Result:The author observed and recorded the pressure in airbag before and after knocking the back for 90 times.There were 6 cases with no change of pressure in airbag after knocking the back,accounting for 6.7%,and there were 84 cases that were changed,accounting for 93.3%.The average pressure in airbag after knocking the back was (25±3.6)cm H2O,it was significantly lower than before knocking the back[(28±2.4)cm H2O],the difference was statistically significant(t=4.128,P<0.01).The adverse reaction rate after knocking the back was 26.7%, it was significantly lower than before knocking the back(96.7%),the difference was statistically significant(t=31.093, P<0.01).Conclusion:Knock the back should pay attention to monitoring pressure in airbag,adjust the volume of airbag,in order to maintain suitable pressure in airbag and reduce adverse reactions,so as to prevent air leakage and occurrence of aspiration pneumonia.
