CAJ | 학술논문

目的探讨机械辅助排痰在预防建立人工气道的患者肺部感染的应用效果.方法将116例建立人工气道的患者,根据患者入住ICU的时间顺序编号,按单双号将入选患者分为对照组和观察组,每组58例.对照组患者使用常规治疗,观察组患者在接受常规治疗的同时选用G2000振动排痰机-Hema进行胸部叩击振动排痰.观察两组患者排痰效果、肺部感染、患者的舒适度及护理人员的操作感受等.结果观察组发生肺部感染5例,对照组为14例；观察组患者排痰量为(38.6±4.1)ml/d,排痰有效18例,显效32例；对照组患者排痰量为(33.8±3.3) ml/d,排痰有效12例,显效26例,两组患者在肺部感染发生例数、排痰量、排痰效果方面比较,差异有统计学意义(t/x2值分别为5.098,2.021,-2.334；P＜0.05).观察组护理人员在操作的方便程度,省力与否及患者的舒适度方面比较均优于对照组,两组比较,差异均有统计学意义(x2/Z值分别为-5.097,11.226,-3.250;P ＜0.01).结论机械辅助排痰可提高人工气道患者的排痰效果,有效降低肺部感率,增加患者的舒适度,同时减轻护理工作量,建议在临床推广应用.
목적 탐토궤계보조배담재예방건립인공기도적환자폐부감염적응용효과.방법 장116례건립인공기도적환자,근거환자입주ICU적시간순서편호,안단쌍호장입선환자분위대조조화관찰조,매조58례.대조조환자사용상규치료,관찰조환자재접수상규치료적동시선용G2000진동배담궤-Hema진행흉부고격진동배담.관찰량조환자배담효과、폐부감염、환자적서괄도급호리인원적조작감수등.결과 관찰조발생폐부감염5례,대조조위14례；관찰조환자배담량위(38.6±4.1)ml/d,배담유효18례,현효32례；대조조환자배담량위(33.8±3.3) ml/d,배담유효12례,현효26례,량조환자재폐부감염발생례수、배담량、배담효과방면비교,차이유통계학의의(t/x2치분별위5.098,2.021,-2.334；P＜0.05).관찰조호리인원재조작적방편정도,성력여부급환자적서괄도방면비교균우우대조조,량조비교,차이균유통계학의의(x2/Z치분별위-5.097,11.226,-3.250;P ＜0.01).결론 궤계보조배담가제고인공기도환자적배담효과,유효강저폐부감솔,증가환자적서괄도,동시감경호리공작량,건의재림상추엄응용.
Objective To research the effects of mechanic auxiliary expectoration on prevention of pneumonia of patients with artificial airway.Methods According to the admission number,116 patients with establishment of artificial airway were divided into treatment group and control group,and 58 cases in each group.Hama mechanic assisted expectoration was used in the treatment group,while traditional chest percussion in the control group.Then,expectoration effect,pulmonary infection,comfort of patients and operation feeling of nursing staff were observed and statistical analyzed.Results The incidence of pneumonia (5 vs 14),sputum volume [(38.6 ± 4.1 ml/d vs 33.8 ± 3.3 ml/d)],expectoration effective cases (18 vs 12),expectoration markedly effective cases (32 vs 26) between treatment group and control group were significantly significant (t/x2 =5.098,2.021,-2.334,respectively; P ＜0.05).Significant difference were found in the comfort of the patients and operating experience of nursing staff (x2/Z =-5.097,11.226,-3.250,respectively; P ＜ 0.01).Conclusions Mechanic auxiliary expectoration can improve sputum drainage of patients with artificial airway,reduce the rates of lung infection and nursing workload,improve patient comfort.It' s worth popularizing in the clinical application.