CAJ | 학술논문

目的：探讨集束化护理干预对危重症患儿气管插管拔管后喉头水肿的影响。方法：选择气管插管拔管后喉头水肿的患儿42例，按入院时间将2010年6月~2011年7月入住PICU的21例患儿作为对照组，将2011年8月~2012年12月入住PICU的21例患儿作为观察组。对照组给予喉头水肿的常规护理，观察组在常规护理的基础上进行集束化护理，比较两组患儿喉头水肿症状的持续时间。结果：观察组喉头水肿症状(声嘶或喘鸣)持续时间与对照组比较均有缩短，差异均有统计学意义(P<0.05) 。结论：对PICU病房危重症患儿气管插管拔管后进行集束化护理干预，能有效减轻危重症患儿气管插管拔管后喉头水肿的症状。
목적：탐토집속화호리간예대위중증환인기관삽관발관후후두수종적영향。방법：선택기관삽관발관후후두수종적환인42례，안입원시간장2010년6월~2011년7월입주PICU적21례환인작위대조조，장2011년8월~2012년12월입주PICU적21례환인작위관찰조。대조조급여후두수종적상규호리，관찰조재상규호리적기출상진행집속화호리，비교량조환인후두수종증상적지속시간。결과：관찰조후두수종증상(성시혹천명)지속시간여대조조비교균유축단，차이균유통계학의의(P<0.05) 。결론：대PICU병방위중증환인기관삽관발관후진행집속화호리간예，능유효감경위중증환인기관삽관발관후후두수종적증상。
Objective:To investigate the efficacy of Bundle care critically ill chiildren with endotracheal intubation in front of or after pull out. Methods:42 sick children in pediatric PICU with endotracheal intubation artificial were randomly divided into the control group (21 cases) and the observation group (21 cases). The control group received routine care,on this basis the observation group was given bundle care intervention. The time of laryngeal edema was observed in two groups. Results:The time of laryngeal edema lasted was shorter in the observation group compared with the control group. Comparing with the control group. Conclusion:Bundle care of critically ill chiildren with endotracheal intubation in front of or after pull out could effectively reduce the symotoms of laryngeal edema.