国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
16期
2491-2494
,共4页
何靖敏%李倩%周兆兰%陈森彩
何靖敏%李倩%週兆蘭%陳森綵
하정민%리천%주조란%진삼채
重型颅脑损伤%急性呼吸窘迫综合征%人工气道%湿化%吸痰%循证护理
重型顱腦損傷%急性呼吸窘迫綜閤徵%人工氣道%濕化%吸痰%循證護理
중형로뇌손상%급성호흡군박종합정%인공기도%습화%흡담%순증호리
Severe brain injury%Acute respiratory distress syndrome%Artificial airway%Humidification%Suctioning%Evidence-based nursing
目的 探讨循证护理在重型颅脑损伤并ARDS患者机械通气湿化和吸痰中的应用.方法 选择入住我院ICU的重型颅脑损伤并ARDS建立人工气道机械通气患者78例,按随机数字表法分为观察组41例和对照组37例.对照组患者只给予机械通气常规护理,观察组患者在气道湿化和吸痰上实施循证护理.比较两组患者并发症发生率和吸痰后SpO2水平.结果 观察组患者并发症的发生率明显低于对照组(P＜0.05)；观察组患者吸痰结束时、吸痰后1 min、吸痰后5 min血氧水平明显高于对照组(P＜0.05).结论 循证护理在重型颅脑损伤并ARDS患者机械通气湿化和吸痰中的应用可以有效减少机械通气患者并发症的发生率,有效减少SpO2的下降幅度.
目的 探討循證護理在重型顱腦損傷併ARDS患者機械通氣濕化和吸痰中的應用.方法 選擇入住我院ICU的重型顱腦損傷併ARDS建立人工氣道機械通氣患者78例,按隨機數字錶法分為觀察組41例和對照組37例.對照組患者隻給予機械通氣常規護理,觀察組患者在氣道濕化和吸痰上實施循證護理.比較兩組患者併髮癥髮生率和吸痰後SpO2水平.結果 觀察組患者併髮癥的髮生率明顯低于對照組(P＜0.05)；觀察組患者吸痰結束時、吸痰後1 min、吸痰後5 min血氧水平明顯高于對照組(P＜0.05).結論 循證護理在重型顱腦損傷併ARDS患者機械通氣濕化和吸痰中的應用可以有效減少機械通氣患者併髮癥的髮生率,有效減少SpO2的下降幅度.
목적 탐토순증호리재중형로뇌손상병ARDS환자궤계통기습화화흡담중적응용.방법 선택입주아원ICU적중형로뇌손상병ARDS건립인공기도궤계통기환자78례,안수궤수자표법분위관찰조41례화대조조37례.대조조환자지급여궤계통기상규호리,관찰조환자재기도습화화흡담상실시순증호리.비교량조환자병발증발생솔화흡담후SpO2수평.결과 관찰조환자병발증적발생솔명현저우대조조(P＜0.05)；관찰조환자흡담결속시、흡담후1 min、흡담후5 min혈양수평명현고우대조조(P＜0.05).결론 순증호리재중형로뇌손상병ARDS환자궤계통기습화화흡담중적응용가이유효감소궤계통기환자병발증적발생솔,유효감소SpO2적하강폭도.
Objective To investigate the application effect of evidence-based nursing in the humidification and suctioning severe brain injury patients combined with ARDS.Methods 78 cases of severe brain injury combined with ARDS who had received artificial airway mechanical ventilation in our hospital,were chosen from January 2009 to January 2013 and randomly divided into the observation group with 41 cases,and the control group with other 37 cases.The control group received usual mechanical ventilation nursing and humidification and suctioning,the observation group received the same nursing,and was given extra evidence-based nursing.We compared the incidence of complications and changes of SpO2 after suctioning.Results The incidences of irritating cough,airway bleeding,artificial airway clogging,pulmonary infection in the observation group,were lower than those of the control group (P ＜ 0.05).The SpO2 of observation group when suctioning ending,after suctioning 1 min and 5 min,were also higher than those in the control group (P ＜ 0.05).Conclusion Evidencebased nursing care in the application of mechanical ventilation humidification and suctioning in the severe brain injury patients combined with ARDS,can effectively reduce the complications of mechanical ventilation and the SpO2 decline,and improve the quality of care of nursing staff,and reduce the cost of care.
